Provider Demographics
NPI:1023757820
Name:SCHWENCK, ZOE DIANA
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:DIANA
Last Name:SCHWENCK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 WARREN DR APT 8
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-1045
Mailing Address - Country:US
Mailing Address - Phone:949-370-3108
Mailing Address - Fax:
Practice Address - Street 1:445 WARREN DR APT 8
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94131-1045
Practice Address - Country:US
Practice Address - Phone:949-370-3108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)