Provider Demographics
NPI:1801430483
Name:PODBILEWICZ-WEINBERG, YAFFA (PHD)
Entity type:Individual
Prefix:
First Name:YAFFA
Middle Name:
Last Name:PODBILEWICZ-WEINBERG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:YAFFA
Other - Middle Name:
Other - Last Name:PODBILEWICZ-SCHULLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:3225 SLEEPY HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3410
Mailing Address - Country:US
Mailing Address - Phone:402-968-9848
Mailing Address - Fax:
Practice Address - Street 1:3225 SLEEPY HOLLOW DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-3410
Practice Address - Country:US
Practice Address - Phone:402-968-9848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-06
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TH0004X
TX38234103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth