Dr. Yanet Collazo
Psychologist, Clinical in Northridge, CA. Individual provider (NPI-1).
NPI number1487101168
StatusActive
Last updated in NPPESJun 16, 2022
Details
- NPI
- 1487101168
- Entity type
- Individual (NPI-1)
- Name
- Dr. Yanet Collazo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 9, 2016
- Certification date
- Jun 16, 2022
- Last updated
- Jun 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY31113 | CA | Yes |
| 225C00000X | Rehabilitation Counselor | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
9650 Zelzah AveNorthridge, CA 91325-2003
Phone 818-993-9311
Mailing address
9650 Zelzah AveNorthridge, CA 91325-2003
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