Healthcare Provider Details

I. General information

NPI: 1740514801
Provider Name (Legal Business Name): SARAH ZOLAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2009
Last Update Date: 09/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 E EVELYN AVE APT 327
SUNNYVALE CA
94086-6536
US

IV. Provider business mailing address

825 E EVELYN AVE APT 327
SUNNYVALE CA
94086-6536
US

V. Phone/Fax

Practice location:
  • Phone: 415-302-8514
  • Fax:
Mailing address:
  • Phone: 415-302-8514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: