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Individual

DR. ANDREW MARK ZAITSOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
601 STADIUM MALL DR, WEST LAFAYETTE, IN 47907-2052
(765) 494-6995
Mailing address
601 STADIUM MALL DR, WEST LAFAYETTE, IN 47907-2052
(765) 494-6995

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20043139A
IN

Other

Enumeration date
04/11/2018
Last updated
04/11/2018
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