Healthcare Provider Details

I. General information

NPI: 1063696862
Provider Name (Legal Business Name): DAVID ZISKIND PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2007
Last Update Date: 12/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 MONTEVALLO CT
MOBILE AL
36608-3011
US

IV. Provider business mailing address

309 MONTEVALLO CT
MOBILE AL
36608-3011
US

V. Phone/Fax

Practice location:
  • Phone: 251-344-4588
  • Fax: 251-344-4106
Mailing address:
  • Phone: 251-344-4588
  • Fax: 251-344-4106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: