Provider Demographics
NPI:1649883216
Name:BRIONES, ZACHELE MARIE MENDOZA (PHD)
Entity type:Individual
Prefix:DR
First Name:ZACHELE MARIE
Middle Name:MENDOZA
Last Name:BRIONES
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 1:30706 CAVALIER CT
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-1529
Mailing Address - Country:US
Mailing Address - Phone:209-408-6791
Mailing Address - Fax:
Practice Address - Street 1:1171 HOMESTEAD RD STE 220
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-5485
Practice Address - Country:US
Practice Address - Phone:833-256-4225
Practice Address - Fax:800-660-9443
Is Sole Proprietor?:No
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA94025543103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist