Healthcare Provider Details

I. General information

NPI: 1942859632
Provider Name (Legal Business Name): AIMEE MARIE L. ZAPATA PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2019
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5440 PARAGON ST
ROCKLIN CA
95677-2217
US

IV. Provider business mailing address

5440 PARAGON ST
ROCKLIN CA
95677-2217
US

V. Phone/Fax

Practice location:
  • Phone: 916-624-2636
  • Fax:
Mailing address:
  • Phone: 916-624-2636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSB94025483
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: