Healthcare Provider Details

I. General information

NPI: 1932234226
Provider Name (Legal Business Name): NADJA ZAPASOV LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11712 MOORPARK ST #203
STUDIO CITY CA
91604-2154
US

IV. Provider business mailing address

10044 COLLETT AVE
NORTH HILLS CA
91343-1622
US

V. Phone/Fax

Practice location:
  • Phone: 818-521-4176
  • Fax:
Mailing address:
  • Phone: 818-894-8110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number40782
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: