Provider Demographics
NPI:1952849846
Name:ZANDIFAR, MEHRSHID (MA, CHT)
Entity Type:Individual
Prefix:
First Name:MEHRSHID
Middle Name:
Last Name:ZANDIFAR
Suffix:
Gender:F
Credentials:MA, CHT
Other - Prefix:
Other - First Name:MER
Other - Middle Name:
Other - Last Name:ZANDIFAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, CHT
Mailing Address - Street 1:3150 18TH ST
Mailing Address - Street 2:SUITE 354 MAILBOX #408
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2074
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3150 18TH ST
Practice Address - Street 2:SUITE 354 MAILBOX #408
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2074
Practice Address - Country:US
Practice Address - Phone:415-969-4330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-10
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor