Provider Demographics
NPI:1487949608
Name:DILLON, NARGES ZOHOURY (MA)
Entity type:Individual
Prefix:MISS
First Name:NARGES
Middle Name:ZOHOURY
Last Name:DILLON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:NARGES
Other - Middle Name:
Other - Last Name:ZOHOURY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:36543 SAN PEDRO DR
Mailing Address - Street 2:APT 184
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-6459
Mailing Address - Country:US
Mailing Address - Phone:408-386-0612
Mailing Address - Fax:
Practice Address - Street 1:609 PRICE AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1463
Practice Address - Country:US
Practice Address - Phone:650-366-8436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-15
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77269106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist