Healthcare Provider Details

I. General information

NPI: 1467675637
Provider Name (Legal Business Name): DAVID NATHAN ZAHM PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13612 VOLAND CT
DAYTON MD
21036-1102
US

IV. Provider business mailing address

13612 VOLAND CT
DAYTON MD
21036-1102
US

V. Phone/Fax

Practice location:
  • Phone: 410-531-0618
  • Fax:
Mailing address:
  • Phone: 410-531-0618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number04402
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3614
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: