Provider Demographics
NPI:1477160877
Name:ZHANG, LUCY
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6363 BEADNELL WAY APT 249
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-4164
Mailing Address - Country:US
Mailing Address - Phone:505-412-0841
Mailing Address - Fax:
Practice Address - Street 1:6363 BEADNELL WAY APT 249
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-4164
Practice Address - Country:US
Practice Address - Phone:505-412-0841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist