Individual
ZACHARY ALEXANDER BORYNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4514 COLE AVE, SUITE 807, DALLAS, TX 75205-5412
(214) 263-7386
Mailing address
15051 ALSTONE DRIVE, FRISCO, TX 75035
(214) 263-7386
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32829
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098MX
BCBS
—
01
—
267332
COM PSYCH
—
01
—
579498
VALUE OPTIONS
TX
Enumeration date
08/30/2006
Last updated
10/21/2009
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