Healthcare Provider Details

I. General information

NPI: 1881850287
Provider Name (Legal Business Name): ALLEN LAWRENCE ZEMON PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2008
Last Update Date: 08/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 K ST NE
WASHINGTON DC
20002-4216
US

IV. Provider business mailing address

1131 UNIVERSITY BLVD W # 3322
SILVER SPRING MD
20902-3357
US

V. Phone/Fax

Practice location:
  • Phone: 202-442-4878
  • Fax: 202-727-0857
Mailing address:
  • Phone: 301-649-6393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY692
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: