Individual
PATSY H ZAKARAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
15465 OAK LN, STE. D., GULFPORT, MS 39503-2663
(228) 832-5041
Mailing address
PO BOX 2341, GULFPORT, MS 39505-2341
(228) 832-5041
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
19-209
MS
103TC0700X
Clinical Psychologist
Primary
19-209
MS
Other
Enumeration date
06/16/2006
Last updated
02/28/2017
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