| Doctor Name: | MR. DAVID DOUGLAS ZACHAU |
| NPI Number: | 1033135199 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., P.C.C. |
| License Number: | E0000380 |
| Business Practice Address: | 750 S Abbe Rd Elyria, OH - 440357246 |
| Business Phone Number: | 4403235121 |
| Business Fax Number: | 4403235134 |
| Mailing Address: | 11209 Arrowhead Dr, GRAFTON |
| State: | OH |
| Postal Code: | 440449774 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | E0000380 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |