Healthcare Provider Details

I. General information

NPI: 1821795063
Provider Name (Legal Business Name): LIANZHE ZHENG PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2023
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 LINCOLN AVE STE 20
SAN JOSE CA
95125-3184
US

IV. Provider business mailing address

1060 LINCOLN AVE STE 20
SAN JOSE CA
95125-3184
US

V. Phone/Fax

Practice location:
  • Phone: 408-337-6366
  • Fax:
Mailing address:
  • Phone: 408-337-6366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPSY34931
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: