Individual
DR. ZAKIYYAH JOHNICE ZIYADHYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1650 ZANKER RD STE 230, SAN JOSE, CA 95112-1129
(408) 590-8655
Mailing address
1650 ZANKER RD STE 230, SAN JOSE, CA 95112-1129
(408) 590-8655
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
117679
CA
101YP2500X
Professional Counselor
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
CA
05
—
101YP2500X
—
CA
05
—
103T00000X
—
CA
05
—
103TE1000X
—
CA
05
—
405300000X
—
CA
Enumeration date
09/28/2018
Last updated
09/28/2018
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