Individual
YANINA GONZALES BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1371 BEACON ST, SUITE 304, BROOKLINE, MA 02446-4905
(617) 232-2435
(617) 232-0078
Mailing address
1371 BEACON ST, SUITE 304, BROOKLINE, MA 02446-4905
(617) 232-2435
(617) 232-0078
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9900
MA
Other
Enumeration date
07/23/2009
Last updated
08/20/2016
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