Provider Demographics
NPI:1376793562
Name:ZETZER, HEIDI A (PHD)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:A
Last Name:ZETZER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 PHELPS HALL
Mailing Address - Street 2:UNIVERSITY OF CALIFORNIA
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93106-9490
Mailing Address - Country:US
Mailing Address - Phone:805-893-8064
Mailing Address - Fax:805-893-3375
Practice Address - Street 1:1110 PHELPS HALL
Practice Address - Street 2:UNIVERSITY OF CALIFORNIA
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93106-9490
Practice Address - Country:US
Practice Address - Phone:805-893-8064
Practice Address - Fax:805-893-3375
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY14216103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling