Provider Demographics
NPI:1467675637
Name:ZAHM, DAVID NATHAN (PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:NATHAN
Last Name:ZAHM
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13612 VOLAND CT
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:MD
Mailing Address - Zip Code:21036-1102
Mailing Address - Country:US
Mailing Address - Phone:410-531-0618
Mailing Address - Fax:
Practice Address - Street 1:13612 VOLAND CT
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:MD
Practice Address - Zip Code:21036-1102
Practice Address - Country:US
Practice Address - Phone:410-531-0618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04402103TC0700X
OH3614103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical