Suzanne L. Zavala | Santa Rosa, CA • PECOS Search

Suzanne L. Zavala

Marriage & Family Therapist

Behavioral Health & Social Service Providers

3554 Round Barn Blvd, Santa Rosa, CA 95403-0929

(707) 571-3778 (831) 588-7107

PECOS Enrollment

Based on the most recent information from CMS, provider Suzanne L. Zavala does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1962718544
Provider Type
Individual
Full Name
Zavala, Suzanne L.
Gender
Female

Sole Proprietor
No
Enumeration Date
8/20/2010
Last Updated
11/12/2021

Contact Information

Practice Location

3554 Round Barn Blvd, Santa Rosa, CA 95403-0929

Unlisted Fax

Mailing Location

738 Valley Crest Dr, Vista, CA 92084-6606

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 69092 California