Provider Demographics
NPI:1376693861
Name:ZASLAW, CAROLYN L (PHDL)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:L
Last Name:ZASLAW
Suffix:
Gender:F
Credentials:PHDL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5665 COLLEGE AVE STE 320C
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-1655
Mailing Address - Country:US
Mailing Address - Phone:510-981-1994
Mailing Address - Fax:510-981-1994
Practice Address - Street 1:5665 COLLEGE AVE STE 320C
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1655
Practice Address - Country:US
Practice Address - Phone:510-981-1994
Practice Address - Fax:510-981-1994
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY12795103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling