Provider Demographics
NPI:1942047832
Name:ALTAN, ZEYNEP YAREN
Entity type:Individual
Prefix:
First Name:ZEYNEP
Middle Name:YAREN
Last Name:ALTAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YAREN
Other - Middle Name:
Other - Last Name:ALTAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3641 MT DIABLO BLVD UNIT 787
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-6125
Mailing Address - Country:US
Mailing Address - Phone:415-450-5330
Mailing Address - Fax:
Practice Address - Street 1:22 LAKEVIEW CT
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94947-4722
Practice Address - Country:US
Practice Address - Phone:415-450-5330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-09
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16892101YM0800X
CA147525106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health