Provider Demographics
NPI:1295169027
Name:ZATKOWSKY, ROBERTA JANE (LPC)
Entity type:Individual
Prefix:MRS
First Name:ROBERTA
Middle Name:JANE
Last Name:ZATKOWSKY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11270 N 129TH WAY
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-4403
Mailing Address - Country:US
Mailing Address - Phone:480-451-9315
Mailing Address - Fax:480-451-3635
Practice Address - Street 1:11270 N 129TH WAY
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259-4403
Practice Address - Country:US
Practice Address - Phone:480-748-9999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-28
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-16035101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional