| Doctor Name: | DR. CARLEY ZANDERS |
| NPI Number: | 1154558971 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | P70615 |
| Business Practice Address: | 1441 Old Northern Blvd Roslyn, NY - 115762146 |
| Business Phone Number: | 5166256846 |
| Business Fax Number: | |
| Mailing Address: | 1317 S Mansfield Ave, LOS ANGELES |
| State: | CA |
| Postal Code: | 900192920 |
| Phone Number: | 3109930799 |
| Fax Number: | |
| NPI Enumeration Date: | 06/18/2009 |
| NPI Last Update Date: | 06/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | P70615 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |