Individual
LAURI MICHELLE YABLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2650 N WYATT DR, TUCSON, AZ 85712-6106
(520) 320-6230
(520) 322-3665
Mailing address
7461 E TANQUE VERDE RD, TUCSON, AZ 85715-3477
(520) 320-6230
(520) 322-3665
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1975
AZ
103T00000X
Psychologist
1975
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104779
—
AZ
01
—
AZ0616740
BLUE CROSS BLUE SHIELD AZ
AZ
Enumeration date
02/13/2007
Last updated
08/02/2013
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