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Individual

TIMOTHY JOSEPH ZEDDIES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH, D

Contact information

Practice address
406 W 30TH ST, AUSTIN, TX 78705-2804
(512) 495-9556
(512) 495-9774
Mailing address
406 W 30TH ST, AUSTIN, TX 78705-2804
(512) 495-9556
(512) 495-9774

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31613
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0018HC
BCBS
TX
Enumeration date
12/27/2006
Last updated
07/08/2007
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