Organization
BLANK PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY BLANK PSYD (PRESIDENT)
(951) 595-7386
Entity
Organization
Contact information
Practice address
27403 YNEZ RD STE 205, TEMECULA, CA 92591-4616
(951) 595-7386
(951) 414-3770
Mailing address
27403 YNEZ RD STE 205, TEMECULA, CA 92591-4616
(951) 595-7386
(951) 414-3770
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
01/04/2024
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