Healthcare Provider Details

I. General information

NPI: 1568251080
Provider Name (Legal Business Name): VLADLENA ZAPESOTSKY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

167 S SAN ANTONIO RD
LOS ALTOS CA
94022-3046
US

IV. Provider business mailing address

4669 PARK SUTTON PL
SAN JOSE CA
95136-2538
US

V. Phone/Fax

Practice location:
  • Phone: 650-422-7475
  • Fax:
Mailing address:
  • Phone: 408-431-0584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101200000X
TaxonomyDrama Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: