Healthcare Provider Details

I. General information

NPI: 1497927487
Provider Name (Legal Business Name): JOSEPH DANIEL ZUMMO M.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2008
Last Update Date: 03/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4361 RAILROAD AVE STE H
PLEASANTON CA
94566-6611
US

IV. Provider business mailing address

2973 INNISBROOK WAY
DUBLIN CA
94568-1178
US

V. Phone/Fax

Practice location:
  • Phone: 925-201-6283
  • Fax:
Mailing address:
  • Phone: 925-875-1223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: