Provider Demographics
NPI:1053423483
Name:ZANDER, MARGARET JOSEPHINE (LMHC LMFT)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:JOSEPHINE
Last Name:ZANDER
Suffix:
Gender:F
Credentials:LMHC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2266 250TH STREET
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:IA
Mailing Address - Zip Code:50622
Mailing Address - Country:US
Mailing Address - Phone:319-984-6211
Mailing Address - Fax:319-984-6211
Practice Address - Street 1:2266 250TH ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:IA
Practice Address - Zip Code:50622
Practice Address - Country:US
Practice Address - Phone:319-984-6211
Practice Address - Fax:319-984-6211
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00192101Y00000X
IA00171106H00000X
IALMHC00192251S00000X
IALMFT00171261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1P547642Medicaid