Provider Demographics
NPI:1760225072
Name:ZOE BARNOW, PSYD, A PSYCHOLOGICAL CORPORATION
Entity type:Organization
Organization Name:ZOE BARNOW, PSYD, A PSYCHOLOGICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZOE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNOW
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:510-775-1458
Mailing Address - Street 1:15970 DRAKE RD
Mailing Address - Street 2:
Mailing Address - City:GUERNEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95446-9734
Mailing Address - Country:US
Mailing Address - Phone:510-934-4932
Mailing Address - Fax:
Practice Address - Street 1:15970 DRAKE RD
Practice Address - Street 2:
Practice Address - City:GUERNEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95446-9734
Practice Address - Country:US
Practice Address - Phone:510-934-4932
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-14
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensicGroup - Multi-Specialty
No103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysisGroup - Multi-Specialty