Yasna Jasmine Heravi-Burgos, Psy.D.
Psychologist in Palm Harbor, FL. Individual provider (NPI-1).
NPI number1881997161
StatusActive
Last updated in NPPESSep 6, 2016
Details
- NPI
- 1881997161
- Entity type
- Individual (NPI-1)
- Name
- Yasna Jasmine Heravi-Burgos
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2010
- Last updated
- Sep 6, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | PY 9579 | FL | Yes |
Practice location
3862 Lancaster CtApt. #203
Palm Harbor, FL 34685-4110
Phone 646-627-4075
Mailing address
3862 Lancaster CtApt. #203
Palm Harbor, FL 34685-4110
Phone 646-627-4075
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