Provider Demographics
NPI:1427469188
Name:LAPIS, YANNA
Entity type:Individual
Prefix:
First Name:YANNA
Middle Name:
Last Name:LAPIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1237 MOUNTAIN QUAIL CIR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95120-4161
Mailing Address - Country:US
Mailing Address - Phone:408-375-9964
Mailing Address - Fax:
Practice Address - Street 1:1237 MOUNTAIN QUAIL CIR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95120-4161
Practice Address - Country:US
Practice Address - Phone:408-375-9964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-15
Last Update Date:2020-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810005659103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist