| Doctor Name: | MRS. YADIRAH HADDOCK |
| NPI Number: | 1013038116 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M. A. |
| License Number: | |
| Business Practice Address: | 896 Asylum Ave Hartford, CT - 061051901 |
| Business Phone Number: | 8605228241 |
| Business Fax Number: | 8605248143 |
| Mailing Address: | 22 Haviland Street, BRISTOL |
| State: | CT |
| Postal Code: | 06010 |
| Phone Number: | 8609850457 |
| Fax Number: | |
| NPI Enumeration Date: | 04/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |