Provider Demographics
NPI:1760651350
Name:ZAROFF, IRVING (LMFT)
Entity Type:Individual
Prefix:
First Name:IRVING
Middle Name:
Last Name:ZAROFF
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 1:17337 VENTURA BLVD
Mailing Address - Street 2:317
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-4922
Mailing Address - Country:US
Mailing Address - Phone:818-886-9410
Mailing Address - Fax:818-349-6480
Practice Address - Street 1:17337 VENTURA BLVD
Practice Address - Street 2:317
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-4922
Practice Address - Country:US
Practice Address - Phone:818-886-9410
Practice Address - Fax:818-349-6480
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC31128106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist