Provider Demographics
NPI:1851434773
Name:DARWISH, ZENA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ZENA
Middle Name:
Last Name:DARWISH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 PARKWAY CALABASAS
Mailing Address - Street 2:103
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1400
Mailing Address - Country:US
Mailing Address - Phone:818-569-3096
Mailing Address - Fax:
Practice Address - Street 1:5000 PARKWAY CALABASAS
Practice Address - Street 2:103
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1400
Practice Address - Country:US
Practice Address - Phone:818-569-3096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY24283103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical