Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XM0800X | Mental Health | 18434 | CA |
NPI | 1285104752 |
---|---|
Provider Name | Ms. Leah Rubin Yeater |
First Address | Belmont, CA 94002-1302 |
Second Address | Fremont, CA 94538-2310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2018 |
Last Update Date | 03/01/2022 |