Provider Demographics
NPI:1922440510
Name:YANCHER, IRENE (PSYD)
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:
Last Name:YANCHER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:582 MARKET ST
Mailing Address - Street 2:STE 611
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-5307
Mailing Address - Country:US
Mailing Address - Phone:415-741-1532
Mailing Address - Fax:
Practice Address - Street 1:582 MARKET ST
Practice Address - Street 2:STE 611
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-5307
Practice Address - Country:US
Practice Address - Phone:415-741-1532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-23
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY28445103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical