Tedder, Zackery Alexander
Tedder, Zackery Alexander is an sole proprietor health care provider with primary practice located at 11200 Menchaca Rd Ste 5 , Austin TX 78748-2747. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Tedder, Zackery Alexander can be contacted via phone (512) 200-2516.Contact Information
Primary practice address
11200 Menchaca Rd Ste 5
Austin TX 78748-2747
Phone: (512) 200-2516
Fax: (512) 537-3673
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 36417 | Texas |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X |
Profile Details
| NPI number | 1306181029 |
|---|---|
| LBN Legal business name | Tedder, Zackery Alexander |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2012 |
| Last updated | Aug 18th, 2026 - about 2 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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