Healthcare Provider Details

I. General information

NPI: 1669191607
Provider Name (Legal Business Name): ROSANNE ZAPP PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROSEANNE ZAPP

II. Dates (important events)

Enumeration Date: 08/23/2022
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27401 LOS ALTOS STE 120
MISSION VIEJO CA
92691-8580
US

IV. Provider business mailing address

27401 LOS ALTOS STE 120
MISSION VIEJO CA
92691-8580
US

V. Phone/Fax

Practice location:
  • Phone: 562-431-8822
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY17146
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number17146
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: