Provider Demographics
NPI:1073817037
Name:SCHONBRUN, YAEL CHATAV (PHD)
Entity type:Individual
Prefix:DR
First Name:YAEL
Middle Name:CHATAV
Last Name:SCHONBRUN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:YAEL
Other - Middle Name:
Other - Last Name:CHATAV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:102 FLORAL ST
Mailing Address - Street 2:2
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02461-1523
Mailing Address - Country:US
Mailing Address - Phone:650-714-3171
Mailing Address - Fax:401-455-6546
Practice Address - Street 1:102 FLORAL ST
Practice Address - Street 2:2
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02461-1523
Practice Address - Country:US
Practice Address - Phone:650-714-3171
Practice Address - Fax:401-455-6546
Is Sole Proprietor?:No
Enumeration Date:2011-01-06
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS01177103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical