Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | PSY11597 | CA |
NPI | 1033155569 |
---|---|
Provider Name | Nicholas J. Zirpolo |
First Address | Palo Alto, CA 94306-4006 |
Second Address | Palo Alto, CA 94306-4006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 23/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0PL115970 | (02) | CA |