The Ziggurat Group, PA

NPI #1295928190 in Dallas, Texas

Provider Information

NPI Number: 1295928190
Entity Type: Organization
Organization Name: The Ziggurat Group, PA
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 23, 2007
Last Updated: Apr 14, 2023

Practice Location

Address: 17430 CAMPBELL RD STE 112
City: Dallas
State: Texas
ZIP Code: 75252-5297
Phone: (214) 227-7741

Authorized Official

Name: DR. BARRY GLENN GROSSMAN, PH.D.
Title: LICENSED PSYCHOLOGIST
Phone: (214) 227-7741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Clinical — Clinical	103TC0700X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Technician, Other	247200000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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