Organization
YIARA S. BLANCO, PSY.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YIARA S BLANCO PSY.D. (LICENSED CLINICAL PSYCHOLOGIST)
(813) 701-2471
Entity
Organization
Contact information
Practice address
14448 BRUCE B DOWNS BLVD, TAMPA, FL 33613-2612
(813) 701-2471
(813) 701-2471
Mailing address
14448 BRUCE B DOWNS BLVD, TAMPA, FL 33613-2612
(813) 701-2471
(813) 701-2471
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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