Provider Demographics
NPI:1669771804
Name:ZAHN, MARION PHOUMMARATH (PHD)
Entity type:Individual
Prefix:DR
First Name:MARION
Middle Name:PHOUMMARATH
Last Name:ZAHN
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24044 CINCO VILLAGE CENTER BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-8432
Mailing Address - Country:US
Mailing Address - Phone:713-975-1222
Mailing Address - Fax:888-975-1526
Practice Address - Street 1:24044 CINCO VILLAGE CENTER BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-8432
Practice Address - Country:US
Practice Address - Phone:713-975-1222
Practice Address - Fax:888-975-1526
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-25
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
7661103T00000X
TX34861103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
7661OtherPSYPACT APIT