Healthcare Provider Details

I. General information

NPI: 1467370254
Provider Name (Legal Business Name): ZAHRA KOLAHDOUZAN PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8815 BRICKYARD RD
POTOMAC MD
20854-1755
US

IV. Provider business mailing address

8815 BRICKYARD RD
POTOMAC MD
20854-1755
US

V. Phone/Fax

Practice location:
  • Phone: 301-580-8323
  • Fax:
Mailing address:
  • Phone: 301-580-8323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810008221
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number07115
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: