Provider Demographics
NPI:1316068539
Name:ZERHUSEN, PETER ADAM (PHD, LCSW-C)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:ADAM
Last Name:ZERHUSEN
Suffix:
Gender:M
Credentials:PHD, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6245 S POINT RD
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-2631
Mailing Address - Country:US
Mailing Address - Phone:410-641-4116
Mailing Address - Fax:
Practice Address - Street 1:6245 S POINT RD
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-2631
Practice Address - Country:US
Practice Address - Phone:410-641-4116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD067561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical