Provider Demographics
NPI:1669685731
Name:DONNA H ZULAUF MSW PA
Entity type:Organization
Organization Name:DONNA H ZULAUF MSW PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:H
Authorized Official - Last Name:ZULAUF
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW C
Authorized Official - Phone:410-686-0244
Mailing Address - Street 1:1546 EASTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:BALTO
Mailing Address - State:MD
Mailing Address - Zip Code:21221
Mailing Address - Country:US
Mailing Address - Phone:410-686-0244
Mailing Address - Fax:410-686-0320
Practice Address - Street 1:1546 EASTERN BLVD
Practice Address - Street 2:
Practice Address - City:BALTO
Practice Address - State:MD
Practice Address - Zip Code:21221
Practice Address - Country:US
Practice Address - Phone:410-686-0244
Practice Address - Fax:410-686-0370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty