| Doctor Name: | DR. MICHAEL ALLEN ZULLI |
| NPI Number: | 1376751248 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 19130 |
| Business Practice Address: | 340 Eureka Dr Pacifica, CA - 94044 |
| Business Phone Number: | 8313327772 |
| Business Fax Number: | |
| Mailing Address: | 444 May Ave, Ste 5 SANTA CRUZ |
| State: | CA |
| Postal Code: | 950602961 |
| Phone Number: | 8313327772 |
| Fax Number: | |
| NPI Enumeration Date: | 05/21/2007 |
| NPI Last Update Date: | 11/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 19130 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |