Provider Demographics
NPI:1194866673
Name:ZINN, HARLAN K
Entity Type:Individual
Prefix:DR
First Name:HARLAN
Middle Name:K
Last Name:ZINN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10628 PARK HEIGHTS AVE
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4310
Mailing Address - Country:US
Mailing Address - Phone:410-486-2899
Mailing Address - Fax:
Practice Address - Street 1:10628 PARK HEIGHTS AVE
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4310
Practice Address - Country:US
Practice Address - Phone:410-580-2980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCO361101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional