Provider Demographics
NPI:1063986990
Name:ZELLMAN-STEEN, SHYLA TERESA (LCSW)
Entity type:Individual
Prefix:
First Name:SHYLA
Middle Name:TERESA
Last Name:ZELLMAN-STEEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SHYLA
Other - Middle Name:T
Other - Last Name:STEEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:2727 DEL RIO PL STE C
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95618-7729
Mailing Address - Country:US
Mailing Address - Phone:530-902-0564
Mailing Address - Fax:
Practice Address - Street 1:2727 DEL RIO PL STE C
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95618-7729
Practice Address - Country:US
Practice Address - Phone:530-902-0564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS21560101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health