Tanya Zoerb

Individual provider Active NPI Clinical Psychologist · Northridge, CA

NPI 1689705295 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1689705295
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
PSY 13492 (CA)
Practice address
9650 Zelzah Ave
Northridge, CA 91325-2003
Phone
(818) 993-9311
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PSY 13492CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Guidance Center Clinical Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 13492 CA Yes

Addresses

Primary practice location

9650 Zelzah Ave
Northridge, CA 91325-2003

Mailing address

9650 Zelzah Ave
Northridge, CA 91325-2003

Other providers in Northridge, CA

All providers in Northridge, CA · Clinical Psychologist in California

Sources for this page

Verify at the official NPI Registry.