Provider Demographics
NPI:1447237201
Name:ZEIGER, MORDECHAI (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MORDECHAI
Middle Name:
Last Name:ZEIGER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6503 EDENVALE RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-3303
Mailing Address - Country:US
Mailing Address - Phone:443-220-8142
Mailing Address - Fax:
Practice Address - Street 1:1314 BEDFORD AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-6604
Practice Address - Country:US
Practice Address - Phone:443-220-8142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-22
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015037103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical