Individual
YASNA JASMINE HERAVI-BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3862 LANCASTER CT, APT. #203, PALM HARBOR, FL 34685-4110
(646) 627-4075
Mailing address
3862 LANCASTER CT, APT. #203, PALM HARBOR, FL 34685-4110
(646) 627-4075
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 9579
FL
Other
Enumeration date
12/08/2010
Last updated
09/06/2016
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