Individual
DR. CELESTE ROSE YANISCH
Active
Individual
DR. CELESTE ROSE YANISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3761
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79G96YA
BCBSMN
MN
01
—
941419300
MEDICAL ASSISTANCE NUMBER
MN
01
—
HP46412
HEALTHPARTNERS NUMBER
MN
Enumeration date
03/07/2007
Last updated
07/08/2007
Update your record
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