Provider Demographics
NPI:1083384291
Name:HEALTH AND WELLNESS PSYCHOLOGY, INC
Entity Type:Organization
Organization Name:HEALTH AND WELLNESS PSYCHOLOGY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZYGMONT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:510-626-0082
Mailing Address - Street 1:400 ESTUDILLO AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94577-4900
Mailing Address - Country:US
Mailing Address - Phone:510-281-0727
Mailing Address - Fax:
Practice Address - Street 1:400 ESTUDILLO AVE STE 201
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577-4900
Practice Address - Country:US
Practice Address - Phone:510-281-0727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-18
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty