Healthcare Provider Details

I. General information

NPI: 1588872592
Provider Name (Legal Business Name): DEBRA ZATZ M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 CONNECTICUT AVE NW STE 202
WASHINGTON DC
20008-2529
US

IV. Provider business mailing address

3000 CONNECTICUT AVE NW STE 202
WASHINGTON DC
20008-2529
US

V. Phone/Fax

Practice location:
  • Phone: 202-265-4440
  • Fax:
Mailing address:
  • Phone: 202-265-4440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC302679
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: