Basic Information
| Provider Information | |||||||||
| NPI: | 1467825521 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ZAYER | ||||||||
| FirstName: | GISELLE | ||||||||
| MiddleName: | |||||||||
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| Credential: | MSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12405 ROYAL OAKS DR | ||||||||
| Address2: | |||||||||
| City: | RANCHO CUCAMONGA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917398824 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9092603866 | ||||||||
| FaxNumber: | 9512427733 | ||||||||
| Practice Location | |||||||||
| Address1: | 12405 ROYAL OAKS DR | ||||||||
| Address2: | |||||||||
| City: | RANCHO CUCAMONGA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917398824 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9092603866 | ||||||||
| FaxNumber: | 9512427733 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/10/2015 | ||||||||
| LastUpdateDate: | 05/23/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | ASW69270 | CA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.