| Doctor Name: | DR. YANIRA SERVIN |
| NPI Number: | 1447674031 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PSY20905 |
| Business Practice Address: | 2302 Brown Rd. Imperial, CA - 92251 |
| Business Phone Number: | 7603377900 |
| Business Fax Number: | 7603377672 |
| Mailing Address: | 2302 Brown Rd., IMPERIAL |
| State: | CA |
| Postal Code: | 92251 |
| Phone Number: | 7603377900 |
| Fax Number: | 7603377672 |
| NPI Enumeration Date: | 02/18/2014 |
| NPI Last Update Date: | 02/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY20905 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |