Provider Demographics
NPI:1427715721
Name:FISCHMAN, YAEL ZEIGER (PHD)
Entity type:Individual
Prefix:DR
First Name:YAEL
Middle Name:ZEIGER
Last Name:FISCHMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:885 OAK GROVE AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4441
Mailing Address - Country:US
Mailing Address - Phone:650-424-1314
Mailing Address - Fax:
Practice Address - Street 1:885 OAK GROVE AVE STE 202
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4441
Practice Address - Country:US
Practice Address - Phone:650-424-1314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-21
Last Update Date:2021-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAM8271103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist