Provider Demographics
NPI:1912143942
Name:ZAMORA, IVY ALINDOGAN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:IVY
Middle Name:ALINDOGAN
Last Name:ZAMORA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37155 TREE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-3256
Mailing Address - Country:US
Mailing Address - Phone:760-637-4022
Mailing Address - Fax:
Practice Address - Street 1:37155 TREE RIDGE DR
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-3256
Practice Address - Country:US
Practice Address - Phone:760-637-4022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-22
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist