Individual
DR. MICHAEL D ZANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3721 BENSON DR, RALEIGH, NC 27609-7324
(919) 872-3355
Mailing address
3721 BENSON DR, RALEIGH, NC 27609-7324
(919) 872-3355
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1593
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0487A
BCBS
NC
Enumeration date
03/22/2007
Last updated
07/08/2007
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