Healthcare Provider Details

I. General information

NPI: 1487795498
Provider Name (Legal Business Name): PAUL ZAGER MFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

946 IRVING ST
SAN FRANCISCO CA
94122-2207
US

IV. Provider business mailing address

1000 CHENERY ST
SAN FRANCISCO CA
94131-2923
US

V. Phone/Fax

Practice location:
  • Phone: 415-646-0499
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC#33929
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: