Provider Demographics
NPI:1669535316
Name:ZEIG, JEFFREY K (PHD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:K
Last Name:ZEIG
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 1:1935 E AURELIUS AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-5543
Mailing Address - Country:US
Mailing Address - Phone:602-944-6529
Mailing Address - Fax:602-944-8118
Practice Address - Street 1:1935 E AURELIUS AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-5543
Practice Address - Country:US
Practice Address - Phone:602-944-6529
Practice Address - Fax:602-944-8118
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ780103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist