Individual
JACLYN ZECCOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11712 MOORPARK ST STE 204B, STUDIO CITY, CA 91604-2158
(323) 636-1632
Mailing address
11712 MOORPARK ST STE 204B, STUDIO CITY, CA 91604-2158
(323) 636-1632
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSB37634
CA
Other
Enumeration date
12/14/2016
Last updated
06/18/2020
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