MEDICARE: DR. ZENA DARWISH PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY24283	CA

General Provider Information

NPI Number	:	1851434773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZENA DARWISH PSY.D.

Provider Business Mailing Address
First Line	:	5000 PARKWAY CALABASAS
Second Line	:	103
City	:	CALABASAS
State	:	CA
Zip	:	91302-1400
Country	:	US
Telephone Number	:	818-569-3096
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 PARKWAY CALABASAS
Second Line	:	103
City	:	CALABASAS
State	:	CA
Zip	:	91302-1400
Country	:	US
Telephone Number	:	818-569-3096
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	07/29/2011

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