Provider Demographics
NPI:1700863768
Name:ZALER, RICHARD
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:ZALER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36-24-7 RTE 330
Mailing Address - Street 2:
Mailing Address - City:OKINAWA CITY
Mailing Address - State:OKINAWA
Mailing Address - Zip Code:96367
Mailing Address - Country:JP
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:36-24-7 RTE 330
Practice Address - Street 2:
Practice Address - City:OKINAWA CITY
Practice Address - State:OKINAWA
Practice Address - Zip Code:96367
Practice Address - Country:JP
Practice Address - Phone:634-1266
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW011368L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical