Healthcare Provider Details

I. General information

NPI: 1144377763
Provider Name (Legal Business Name): DEBORAH DODD ZURSCHMIEDE PHD, LCSW, PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 04/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1535 KILLEARN CENTER BLVD STE D1
TALLAHASSEE FL
32309-3439
US

IV. Provider business mailing address

1535 KILLEARN CENTER BLVD STE D1
TALLAHASSEE FL
32309-3439
US

V. Phone/Fax

Practice location:
  • Phone: 850-671-4646
  • Fax: 850-671-5857
Mailing address:
  • Phone: 850-671-4646
  • Fax: 850-671-5857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW#1961
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: