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Provider Information for 1790094605


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Ms. GALINA ZLOTNIKOVA MFTI


Sex: Female

NPI: 1790094605
Last Updated: 2010-09-27
Certification Date:

Details

NameValue
NPI1790094605
Enumeration Date2010-09-27
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 1060 CONTINENTALS WAY APT 218
BELMONT, CA 94002-3153
United States

Phone: | Fax:
 
Primary Practice Address 225 CABRILLO HWY S
HALF MOON BAY, CA 94019-8200
United States

Phone: 650-726-6369 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist