Provider Demographics
NPI:1043426620
Name:ZINNANTI, PERRY
Entity Type:Individual
Prefix:
First Name:PERRY
Middle Name:
Last Name:ZINNANTI
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 1:100 EDMONDS RD
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062-3812
Mailing Address - Country:US
Mailing Address - Phone:650-366-5723
Mailing Address - Fax:650-366-5326
Practice Address - Street 1:100 EDMONDS RD
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-3812
Practice Address - Country:US
Practice Address - Phone:650-366-5723
Practice Address - Fax:650-366-5326
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor