Provider Demographics
NPI:1093949646
Name:DANA ZAGER THERAPY
Entity Type:Organization
Organization Name:DANA ZAGER THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLILNCAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ZAGER
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:614-530-5501
Mailing Address - Street 1:2691 E MAIN ST
Mailing Address - Street 2:101-A
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-2535
Mailing Address - Country:US
Mailing Address - Phone:614-530-5501
Mailing Address - Fax:
Practice Address - Street 1:2691 E MAIN ST
Practice Address - Street 2:101-A
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209-2535
Practice Address - Country:US
Practice Address - Phone:614-530-5501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHL.00091021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty