Provider Demographics
NPI:1104993625
Name:ZWEIG, JOHN T (EDD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:T
Last Name:ZWEIG
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1323 MT HERMON ROAD
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804
Mailing Address - Country:US
Mailing Address - Phone:410-543-8844
Mailing Address - Fax:410-749-1809
Practice Address - Street 1:1323 MT HERMON ROAD
Practice Address - Street 2:SUITE 3A
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804
Practice Address - Country:US
Practice Address - Phone:410-543-8844
Practice Address - Fax:410-749-1809
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1668103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG978OtherBLUE CROSS BLUE SHIELD
21969OtherESCPH
096143OtherTRICARE
2303OtherCOVENTRY INSURANCE
MDR461OtherFEDERAL BCBS
MD775231800Medicaid
210063OtherMDIPA OPTIMUM CHOICE MAMS
640452OtherNCPPO
9387032OtherPHCS
001134OtherVALUE OPTIONS
100052120001OtherAPS HEALTHCARE
11251162OtherUNITED HEALTHCARE