Provider Demographics
NPI:1124210471
Name:YERZLEY, ERLINDA ABLAZA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ERLINDA
Middle Name:ABLAZA
Last Name:YERZLEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ERLINDA
Other - Middle Name:ABLAZA
Other - Last Name:GRABOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:PO BOX 3054
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91508-3054
Mailing Address - Country:US
Mailing Address - Phone:818-606-6302
Mailing Address - Fax:818-907-9982
Practice Address - Street 1:4444 W RIVERSIDE DR STE 307
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4048
Practice Address - Country:US
Practice Address - Phone:818-606-6302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY21617103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical