Provider Demographics
NPI:1144377763
Name:ZURSCHMIEDE, DEBORAH DODD (PHD, LCSW, PA)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:DODD
Last Name:ZURSCHMIEDE
Suffix:
Gender:F
Credentials:PHD, LCSW, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1535 KILLEARN CENTER BLVD STE D1
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-3439
Mailing Address - Country:US
Mailing Address - Phone:850-671-4646
Mailing Address - Fax:850-671-5857
Practice Address - Street 1:1535 KILLEARN CENTER BLVD STE D1
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32309-3439
Practice Address - Country:US
Practice Address - Phone:850-671-4646
Practice Address - Fax:850-671-5857
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW#19611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ5447OtherBLUE CROSS IDENTIFICATION
FLZ5447OtherBLUE CROSS IDENTIFICATION