Provider Demographics
NPI:1275017568
Name:ZHENG, FENNIE (LMFT)
Entity Type:Individual
Prefix:
First Name:FENNIE
Middle Name:
Last Name:ZHENG
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 NORTHCREST DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-7313
Mailing Address - Country:US
Mailing Address - Phone:415-993-3006
Mailing Address - Fax:
Practice Address - Street 1:1720 MARCO POLO WAY STE E
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-4513
Practice Address - Country:US
Practice Address - Phone:415-993-3006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-21
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA132428106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist