| Doctor Name: | EDITH ZUCKERMAN KEY |
| NPI Number: | 1043469703 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | MFC19538 |
| Business Practice Address: | 1242 Park St Ste C Alameda, CA - 945015500 |
| Business Phone Number: | 5106444214 |
| Business Fax Number: | 5105218253 |
| Mailing Address: | 1242 Park St. Suite C, ALAMEDA |
| State: | CA |
| Postal Code: | 94501 |
| Phone Number: | 5106444214 |
| Fax Number: | 5105218253 |
| NPI Enumeration Date: | 09/17/2008 |
| NPI Last Update Date: | 09/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MFC19538 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |