Provider Demographics
NPI:1750369252
Name:ZASTROW, DIANE BARBARA (MS, CGC)
Entity type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:BARBARA
Last Name:ZASTROW
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:BARBARA
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2240 VILLAGE CT
Mailing Address - Street 2:APT. 7
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-3473
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3700 CALIFORNIA ST
Practice Address - Street 2:ROOM G330
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1618
Practice Address - Country:US
Practice Address - Phone:415-600-2148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS