Basic Information
| Provider Information | |||||||||
| NPI: | 1548782337 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ANDREANI | ||||||||
| FirstName: | ZENA | ||||||||
| MiddleName: | DANIELA | ||||||||
| NamePrefix: | MS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 366 EUCLID AVE APT 402 | ||||||||
| Address2: | |||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946103222 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8183395803 | ||||||||
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| Practice Location | |||||||||
| Address1: | 609 PRICE AVE STE 205 | ||||||||
| Address2: | |||||||||
| City: | REDWOOD CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 940631403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6503668436 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/12/2017 | ||||||||
| LastUpdateDate: | 03/31/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/19/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 111220 | CA | N | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | Mental Health | 1041C0700X | N | Behavioral Health & Social Service Providers | Social Worker | Clinical | 106H00000X | 111220 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.