Provider Demographics
NPI:1700069598
Name:VEVAINA, ZENA J (PSYD, LMFT)
Entity type:Individual
Prefix:DR
First Name:ZENA
Middle Name:J
Last Name:VEVAINA
Suffix:
Gender:F
Credentials:PSYD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:582 MARKET ST STE 1608
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-5317
Mailing Address - Country:US
Mailing Address - Phone:415-521-1506
Mailing Address - Fax:877-448-3551
Practice Address - Street 1:582 MARKET ST STE 1608
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-5317
Practice Address - Country:US
Practice Address - Phone:415-521-1506
Practice Address - Fax:877-448-3551
Is Sole Proprietor?:No
Enumeration Date:2007-12-14
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF56637106H00000X
ORT2202106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist