Provider Demographics
NPI:1679849442
Name:ZEIDLER, CAMERON FITZPATRICK (PSYD)
Entity type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:FITZPATRICK
Last Name:ZEIDLER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 321104
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-0118
Mailing Address - Country:US
Mailing Address - Phone:310-686-1171
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 321104
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-0118
Practice Address - Country:US
Practice Address - Phone:310-686-1171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-27
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CAPSY35524103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health