Provider Demographics
NPI:1205266103
Name:ZUESSMAN, RONNIE (PHD)
Entity type:Individual
Prefix:DR
First Name:RONNIE
Middle Name:
Last Name:ZUESSMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4523
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22038-4523
Mailing Address - Country:US
Mailing Address - Phone:347-277-1135
Mailing Address - Fax:
Practice Address - Street 1:A T AUGUSTA MILITARY MEDICAL CENTER
Practice Address - Street 2:9600 DEWITT LOOP
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060
Practice Address - Country:US
Practice Address - Phone:347-277-1135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA070100 6143101YM0800X, 101YM0800X
VA071700 1344106H00000X
VA0810005276103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist