Provider Information for 1134452899
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
YERINA KNOBLOCK MFT
Sex: Female
NPI: 1134452899
Last Updated: 2024-03-26
Certification Date: 2024-03-26
Certification Date: 2024-03-26
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1134452899 | ||||||||||||
| Enumeration Date | 2009-09-14 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 2404 LOGANVILLE, GA 30052-0056 United States Phone: 949-289-1000 | Fax: | ||||||||||||
| Primary Practice Address | 5887 GLENRIDGE DR STE 230 SANDY SPRINGS, GA 30328-9929 United States Phone: 949-289-1000 | Fax: | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|