Provider Demographics
NPI:1033453287
Name:DAVIDSON, ZACHARY SCOTT
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:SCOTT
Last Name:DAVIDSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 BRANNAN ST STE 410
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-4831
Mailing Address - Country:US
Mailing Address - Phone:415-864-4655
Mailing Address - Fax:415-626-2398
Practice Address - Street 1:1000 BRANNAN ST STE 401
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-4888
Practice Address - Country:US
Practice Address - Phone:415-864-4655
Practice Address - Fax:415-626-2398
Is Sole Proprietor?:No
Enumeration Date:2012-11-11
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No101Y00000XBehavioral Health & Social Service ProvidersCounselor