Healthcare Provider Details

I. General information

NPI: 1659575868
Provider Name (Legal Business Name): STEVEN ZLUTNICK PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 SUTTER ST SUITE 2103
SAN FRANCISCO CA
94108-4206
US

IV. Provider business mailing address

450 SUTTER ST SUITE 2103
SAN FRANCISCO CA
94108-4206
US

V. Phone/Fax

Practice location:
  • Phone: 415-989-2140
  • Fax: 415-821-7519
Mailing address:
  • Phone: 415-989-2140
  • Fax: 415-821-7519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPSY6349
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: