Provider Demographics
NPI:1326069576
Name:ZAKRZEWSKI, ROBERT F (PHD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:F
Last Name:ZAKRZEWSKI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2344 UNION ST
Mailing Address - Street 2:
Mailing Address - City:HERMON
Mailing Address - State:ME
Mailing Address - Zip Code:04401-0827
Mailing Address - Country:US
Mailing Address - Phone:207-852-6150
Mailing Address - Fax:207-848-2498
Practice Address - Street 1:2344 UNION ST
Practice Address - Street 2:
Practice Address - City:HERMON
Practice Address - State:ME
Practice Address - Zip Code:04401-0827
Practice Address - Country:US
Practice Address - Phone:207-852-6150
Practice Address - Fax:207-848-2498
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPS1230103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME432301799Medicaid
ME098304OtherANTHEM LEGACY NUMBER