Provider Demographics
NPI:1558473173
Name:ZABUKOVEC, JAMIE J (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:J
Last Name:ZABUKOVEC
Suffix:
Gender:F
Credentials:PSYD
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Other - Credentials:
Mailing Address - Street 1:4500 S LANCASTER RD
Mailing Address - Street 2:VA NORTH TEXAS HCS PSYCHOLOGY SERVICE 116B
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75216-7167
Mailing Address - Country:US
Mailing Address - Phone:214-857-0534
Mailing Address - Fax:214-857-0917
Practice Address - Street 1:4500 S LANCASTER RD
Practice Address - Street 2:VA NORTH TEXAS HCS PSYCHOLOGY SERVICE 116B
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-7167
Practice Address - Country:US
Practice Address - Phone:214-857-0534
Practice Address - Fax:214-857-0917
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAPY00001832103TC0700X
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical