Provider Demographics
NPI:1417297557
Name:NEUROBEHAVIORAL AND REHABILITATION PSYCHOLOGY CONSULTANTS
Entity Type:Organization
Organization Name:NEUROBEHAVIORAL AND REHABILITATION PSYCHOLOGY CONSULTANTS
Other - Org Name:NEUROBEHAVIORAL MEDICINE CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:YERZLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:818-907-9982
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:818-907-9982
Mailing Address - Fax:818-907-9982
Practice Address - Street 1:4955 VAN NUYS BLVD
Practice Address - Street 2:SUITE 316
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-1830
Practice Address - Country:US
Practice Address - Phone:818-907-9982
Practice Address - Fax:818-907-9982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty