Individual
DR. TATIANA YBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D.
Contact information
Practice address
9003 RESEDA BLVD, SUITE 103, NORTHRIDGE, CA 91324-3920
(818) 465-9368
(818) 921-4182
Mailing address
9003 RESEDA BLVD, SUITE 103, NORTHRIDGE, CA 91324-3920
(818) 465-9368
(818) 921-4182
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
04/14/2016
Last updated
12/12/2016
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