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Provider Information for 1194881854


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Dr. LISA HENRI ZASLOVE PhD


Sex: Female

NPI: 1194881854
Last Updated: 2007-07-08
Certification Date:

Details

NameValue
NPI1194881854
Enumeration Date2006-12-28
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 815 BUENA VISTA AVE W
SAN FRANCISCO, CA 94117-4108
United States

Phone: 415-241-7381 | Fax:
 
Primary Practice Address 815 BUENA VISTA AVE W
SAN FRANCISCO, CA 94117-4108
United States

Phone: 415-241-7381 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 103TC0700X - Psychologist - ClinicalCACA PSY13358