Individual
DR. MARC ZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223
(270) 412-5171
Mailing address
320 OLD HICKORY BLVD APT 1707, NASHVILLE, TN 37221-1311
(860) 236-3834
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1488
CT
103T00000X
Psychologist
1488
CT
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1488
CT
103TA0700X
Adult Development & Aging Psychologist
1488
CT
103TB0200X
Cognitive & Behavioral Psychologist
1488
CT
103TC0700X
Clinical Psychologist
Primary
1488
CT
103TC2200X
Clinical Child & Adolescent Psychologist
1488
CT
103TF0000X
Family Psychologist
1488
CT
103TF0200X
Forensic Psychologist
1488
CT
103TH0004X
Health Psychologist
1488
CT
103TH0100X
Health Service Psychologist
1488
CT
103TM1800X
Intellectual & Developmental Disabilities Psychologist
1488
CT
103TP2701X
Group Psychotherapy Psychologist
1488
CT
103TR0400X
Rehabilitation Psychologist
1488
CT
103TS0200X
School Psychologist
1488
CT
Other
Enumeration date
01/21/2008
Last updated
05/29/2025
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