Dr Marc Zola, PHD is a
Clinical Neuropsychologist based in Fort Campbell, Kentucky. Dr Marc Zola is licensed to practice in Connecticut (license number 1488) and his current practice location is
650 Joel Dr, Fort Campbell, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(270) 412-5171.
NPI number for Dr Marc Zola is 1427234491 and his current mailing address is 2982 Prince Dr, Clarksville, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427234491.
Healthcare Provider's Profile
| Full Name | Dr Marc Zola |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Neuropsychologist |
|---|
| Location | 650 Joel Dr, Fort Campbell, Kentucky |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1427234491
- Provider Enumeration Date: 01/21/2008
- Last Update Date: 03/22/2019
Medical Identifiers
Medical identifiers for Dr Marc Zola such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427234491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 1488 (Connecticut) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 1488 (Connecticut) | Secondary |
| 103TA0700X | Psychologist - Adult Development & Aging | 1488 (Connecticut) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 1488 (Connecticut) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1488 (Connecticut) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 1488 (Connecticut) | Secondary |
| 103TF0000X | Psychologist - Family | 1488 (Connecticut) | Secondary |
| 103TF0200X | Psychologist - Forensic | 1488 (Connecticut) | Secondary |
| 103TH0004X | Psychologist - Health | 1488 (Connecticut) | Secondary |
| 103TH0100X | Psychologist - Health Service | 1488 (Connecticut) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 1488 (Connecticut) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | 1488 (Connecticut) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | 1488 (Connecticut) | Secondary |
| 103TS0200X | Psychologist - School | 1488 (Connecticut) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 1488 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Marc Zola is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Marc Zola, PHD
2982 Prince Dr,
Clarksville, TN 37043-9305
Ph: (860) 236-3834 | Dr Marc Zola, PHD
650 Joel Dr,
Fort Campbell, KY 42223
Ph: (270) 412-5171 |
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