Blank, Jeremy

Blank, Jeremy is an individual health care provider with primary practice located at 27403 Ynez Rd Ste 205 , Temecula CA 92591-4616. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Blank, Jeremy can be contacted via phone (951) 595-7386.

Contact Information

Primary practice address
27403 Ynez Rd Ste 205 Temecula CA 92591-4616
Phone: (951) 595-7386
Fax: (951) 414-3770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY27148 California
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY27148 California

Profile Details

NPI number 1215260591
LBN Legal business name Blank, Jeremy
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2009
Last updated Dec 16th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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