Provider Demographics
NPI:1831933340
Name:ZUSMAN, INNA (LGPC)
Entity type:Individual
Prefix:
First Name:INNA
Middle Name:
Last Name:ZUSMAN
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18507 COUNTRY MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:BOYDS
Mailing Address - State:MD
Mailing Address - Zip Code:20841-4335
Mailing Address - Country:US
Mailing Address - Phone:240-702-4263
Mailing Address - Fax:
Practice Address - Street 1:9211 CORPORATE BLVD STE 270
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3856
Practice Address - Country:US
Practice Address - Phone:301-944-9065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health