Individual
DR. XIAO DAN ZENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1381 S PATRICK DR, PATRICK AFB, FL 32925-3606
(321) 494-8234
Mailing address
1381 S PATRICK DR, PATRICK AIR FORCE BASE, FL 32925-3606
(321) 494-8234
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY10302
FL
Other
Enumeration date
12/06/2019
Last updated
02/06/2020
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