Healthcare Provider Details

I. General information

NPI: 1841101540
Provider Name (Legal Business Name): PHOEBE ZERWITZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W PENNSYLVANIA AVE
TOWSON MD
21204-4264
US

IV. Provider business mailing address

400 W PENNSYLVANIA AVE
TOWSON MD
21204-4264
US

V. Phone/Fax

Practice location:
  • Phone: 443-718-0496
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGP18365
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: