DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JEREMY BLANK, PSY.D.

Active

DR. JEREMY BLANK, PSY.D. is a Clinical Neuropsychologist healthcare provider located in TEMECULA, California. NPI 1215260591 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · TEMECULA, CA

Registration Details

NPI Number
1215260591
Provider Type
Individual
Gender
Male
NPI Issued
Sep 17, 2009 (16.949309944783 yrs)
Last Updated
Dec 16, 2023
Licenses
PSY27148 (CA)
PSY27148 (CA)

Practice Information

Address
27403 YNEZ RD STE 205
TEMECULA, CA, 925914616
Browse CA providers · Browse ZIP 92591
Phone
9515957386
Fax
9514143770
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Clinical Neuropsychologist

Other Clinical Neuropsychologist Providers in TEMECULA, CA

Name Credential NPI
KRISTINE TIFFANY WAGNER PH.D. 1902837255
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.