Basic Information
| Provider Information | |||||||||
| NPI: | 1265511281 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ZINCHENKO | ||||||||
| FirstName: | ALEXANDER | ||||||||
| MiddleName: | V. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2211 POST ST | ||||||||
| Address2: | SUITE 401 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941153464 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4158460047 | ||||||||
| FaxNumber: | 4156680246 | ||||||||
| Practice Location | |||||||||
| Address1: | 2211 POST ST | ||||||||
| Address2: | SUITE 401 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941153464 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4158460047 | ||||||||
| FaxNumber: | 4156680246 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/02/2006 | ||||||||
| LastUpdateDate: | 10/17/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | PSY19052 | CA | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.