Provider Demographics
NPI:1538923362
Name:PODOROZHNA, ZOIA (MA, MED)
Entity type:Individual
Prefix:
First Name:ZOIA
Middle Name:
Last Name:PODOROZHNA
Suffix:
Gender:F
Credentials:MA, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4515 WILLARD AVE APT 1503S
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-3661
Mailing Address - Country:US
Mailing Address - Phone:240-234-3549
Mailing Address - Fax:
Practice Address - Street 1:9211 CORPORATE BLVD STE 270
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3856
Practice Address - Country:US
Practice Address - Phone:301-944-9065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ48PA00005900102L00000X
102L00000X
MDLGP16415101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Single Specialty