Provider Demographics
NPI:1942581582
Name:ZINNA & AMADO PSYCHOLOGICAL CONSULTING
Entity type:Organization
Organization Name:ZINNA & AMADO PSYCHOLOGICAL CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:AMADO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:301-355-3500
Mailing Address - Street 1:4 PROFESSIONAL DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-3407
Mailing Address - Country:US
Mailing Address - Phone:202-355-5300
Mailing Address - Fax:
Practice Address - Street 1:4 PROFESSIONAL DR
Practice Address - Street 2:SUITE 120
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-3407
Practice Address - Country:US
Practice Address - Phone:202-355-5300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04538103TF0200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensicGroup - Multi-Specialty