Provider Demographics
NPI:1477168086
Name:ZUSMAN, ULA HORWITZ (MA)
Entity Type:Individual
Prefix:
First Name:ULA
Middle Name:HORWITZ
Last Name:ZUSMAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:ULA
Other - Middle Name:HORWITZ
Other - Last Name:ZUSMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, APC
Mailing Address - Street 1:4746 WOODVALE DR
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30327-4554
Mailing Address - Country:US
Mailing Address - Phone:404-434-6552
Mailing Address - Fax:
Practice Address - Street 1:4549 CHAMBLEE DUNWOODY RD
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-6210
Practice Address - Country:US
Practice Address - Phone:770-677-9309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC007328101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health