Provider Demographics
NPI:1104134436
Name:MAZER, BARBARA ZELDA (PHD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ZELDA
Last Name:MAZER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6862 ELM ST
Mailing Address - Street 2:SUITE 230
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3897
Mailing Address - Country:US
Mailing Address - Phone:301-233-8179
Mailing Address - Fax:301-770-6768
Practice Address - Street 1:6862 ELM ST
Practice Address - Street 2:SUITE 230
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3897
Practice Address - Country:US
Practice Address - Phone:301-233-8179
Practice Address - Fax:301-770-6768
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004273103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist