Provider Demographics
NPI:1902014871
Name:ZAKSEK, DONALD FRANK (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:FRANK
Last Name:ZAKSEK
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 MDG
Mailing Address - Street 2:2050A SECOND ST SE
Mailing Address - City:KIRTLAND AFB
Mailing Address - State:NM
Mailing Address - Zip Code:87117-5522
Mailing Address - Country:US
Mailing Address - Phone:505-846-3562
Mailing Address - Fax:505-846-3295
Practice Address - Street 1:377 MDG
Practice Address - Street 2:2050A SECOND ST SE
Practice Address - City:KIRTLAND AFB
Practice Address - State:NM
Practice Address - Zip Code:87117-5522
Practice Address - Country:US
Practice Address - Phone:505-846-3562
Practice Address - Fax:505-846-3295
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist