Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist |
NPI | 1063696862 |
---|---|
Provider Name | Dr. David Ziskind |
First Address | Mobile, AL 36608-3011 |
Second Address | Mobile, AL 36608-3011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2007 |
Last Update Date | 28/12/2007 |