Individual
REBECCA YESIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4416 SWEET RD, BLAINE, WA 98230-9110
(512) 897-6775
Mailing address
1610 GROVER ST STE B10, LYNDEN, WA 98264-1539
(512) 897-6775
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY61156989
WA
Other
Enumeration date
12/18/2015
Last updated
09/23/2022
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