Yesenia Aguilar Silvan
Student in an Organized Health Care Education/Training Program in Santa Monica, CA. Individual provider (NPI-1).
NPI number1447972724
StatusActive
Last updated in NPPESSep 14, 2022
Details
- NPI
- 1447972724
- Entity type
- Individual (NPI-1)
- Name
- Yesenia Aguilar Silvan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2022
- Certification date
- Sep 14, 2022
- Last updated
- Sep 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | – | – |
Practice location
1339 20th StSanta Monica, CA 90404-2033
Phone 310-829-8921
Mailing address
3181 S Sepulveda Blvd Apt 101Los Angeles, CA 90034-4219
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