Healthcare Provider Details

I. General information

NPI: 1245148956
Provider Name (Legal Business Name): WEIFAN ZHANG PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1619 DAYTON AVE STE 323
SAINT PAUL MN
55104-6276
US

IV. Provider business mailing address

19500 PRUNERIDGE AVE APT 3210
CUPERTINO CA
95014-0628
US

V. Phone/Fax

Practice location:
  • Phone: 510-679-7741
  • Fax:
Mailing address:
  • Phone: 510-679-7741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: