Provider Demographics
NPI:1881602944
Name:ZINN, LESLI (PHD)
Entity type:Individual
Prefix:DR
First Name:LESLI
Middle Name:
Last Name:ZINN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17300 SATURN LN STE 103
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-2209
Mailing Address - Country:US
Mailing Address - Phone:281-554-6100
Mailing Address - Fax:
Practice Address - Street 1:17300 SATURN LN STE 103
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2209
Practice Address - Country:US
Practice Address - Phone:281-554-6100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23816103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81095PMedicare ID - Type Unspecified