Provider Demographics
NPI:1205727369
Name:ZENG, HEATHER T
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:T
Last Name:ZENG
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2264
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-0264
Mailing Address - Country:US
Mailing Address - Phone:510-648-9827
Mailing Address - Fax:
Practice Address - Street 1:5631 TROON CT DISCOVERY BAY CA94505
Practice Address - Street 2:DISCOVERY BAY
Practice Address - City:DISCOVERY BAY
Practice Address - State:CA
Practice Address - Zip Code:94505
Practice Address - Country:US
Practice Address - Phone:510-648-9827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY675101YP2500X
CA15268101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional