Provider Demographics
NPI:1104969187
Name:ZELMAN, MICHAEL P (PSYD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:P
Last Name:ZELMAN
Suffix:
Gender:M
Credentials:PSYD
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Mailing Address - Street 1:3579 E FOOTHILL BLVD
Mailing Address - Street 2:509
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3119
Mailing Address - Country:US
Mailing Address - Phone:626-381-9482
Mailing Address - Fax:708-810-3318
Practice Address - Street 1:3208 ROSEMEAD BLVD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-2830
Practice Address - Country:US
Practice Address - Phone:626-227-7014
Practice Address - Fax:626-227-7015
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2020-10-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPSY18569103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical