Individual
DR. YVETTE TAZEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
14531 SOUTH BASCOM AVENUE, LOS GATOS, CA 95032-2003
(408) 977-7117
(408) 358-0185
Mailing address
PO BOX 20684, SAN JOSE, CA 95160-0684
(408) 977-7117
(408) 358-0185
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY15554
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY155540
MEDICAL
CA
Enumeration date
08/15/2006
Last updated
07/19/2007
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