Provider Demographics
NPI:1780842120
Name:ZAIDI, LISA YASMIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:YASMIN
Last Name:ZAIDI
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 1:8241 SE 30TH ST
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-3005
Mailing Address - Country:US
Mailing Address - Phone:425-481-5700
Mailing Address - Fax:425-481-2157
Practice Address - Street 1:18500 156TH AVE NE
Practice Address - Street 2:SUITE 202
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-4459
Practice Address - Country:US
Practice Address - Phone:425-481-5700
Practice Address - Fax:425-481-2157
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-31
Last Update Date:2008-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00002037103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist