Healthcare Provider Details
I. General information
NPI: 1285931857
Provider Name (Legal Business Name): SESHA ELAINA ZINN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/17/2011
Last Update Date: 02/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
109 PARMAC RD SUITE 1
CHICO CA
95926-2294
US
IV. Provider business mailing address
109 PARMAC RD SUITE 1
CHICO CA
95926-2294
US
V. Phone/Fax
- Phone: 530-891-3280
- Fax:
- Phone: 530-891-3280
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: