Provider Demographics
NPI:1689087884
Name:ZWERDLING, NICHOLAS PHILIP (LMFT)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:PHILIP
Last Name:ZWERDLING
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 HARBOR BLVD
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-4017
Mailing Address - Country:US
Mailing Address - Phone:650-385-9872
Mailing Address - Fax:
Practice Address - Street 1:262 HARBOR BLVD
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-4017
Practice Address - Country:US
Practice Address - Phone:650-385-9872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-05
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA75759106H00000X
107499106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist