| Doctor Name: | DAVID F ZITA |
| NPI Number: | 1841295490 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 1085 |
| Business Practice Address: | 164 Four Mile River Rd Old Lyme, CT - 063711325 |
| Business Phone Number: | 8604348284 |
| Business Fax Number: | |
| Mailing Address: | 164 Four Mile River Rd, OLD LYME |
| State: | CT |
| Postal Code: | 063711325 |
| Phone Number: | 8604348284 |
| Fax Number: | |
| NPI Enumeration Date: | 06/19/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1085 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |