Individual
DR. CHERYL VAN DER ZAAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHERYL VAN DER ZAAG
Contact information
Practice address
427 S MARENGO AVE STE 6, PASADENA, CA 91101-3134
(626) 441-5080
Mailing address
427 S MARENGO AVE STE 6, PASADENA, CA 91101-3134
(626) 441-5080
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY16347
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY16347
CP16347
CA
Enumeration date
10/23/2006
Last updated
03/17/2018
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