Individual
DR. SPENCER TODD ZITZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LMFT-S
Contact information
Practice address
1600 JOHN ADAMS PKWY, SUITE 102, IDAHO FALLS, ID 83401-4300
(208) 529-5276
(208) 529-6506
Mailing address
1600 JOHN ADAMS PKWY, SUITE 102, IDAHO FALLS, ID 83401-4300
(208) 529-5276
(208) 529-6506
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
F0600002
OH
106H00000X
Marriage & Family Therapist
Primary
LMFT-4766
ID
Other
Enumeration date
05/03/2007
Last updated
10/05/2011
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