Provider Demographics
NPI:1679648513
Name:ZAHLER, GAYLE SUE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:GAYLE
Middle Name:SUE
Last Name:ZAHLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1490 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-3510
Mailing Address - Country:US
Mailing Address - Phone:415-449-1286
Mailing Address - Fax:415-449-2901
Practice Address - Street 1:2150 POST ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3508
Practice Address - Country:US
Practice Address - Phone:415-449-2943
Practice Address - Fax:415-449-2901
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALC11490101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ26768ZMedicare PIN