Most Relevant Information
Provider Data
| NPI Number: | 1003335936 |
| Provider Name: | YELENA BLANK PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 28683 |
Most Important Dates
| Enumeration Date: | 09/12/2017 |
| Last Updated: | 05/12/2023 |
Provider Practice Location
257 CASTRO ST STE 208
MOUNTAIN VIEW
CA
940411287
Practice Location Phone/Fax
| Phone: | 4167581335 |
| Fax: |
Provider Mailing Location
257 CASTRO ST STE 208
MOUNTAIN VIEW
CA
940411287
Provider Mailing Phone/Fax
| Phone: | 4167581335 |
| Fax: |