Doctor Name: | MS. BERYL YUDKIN |
NPI Number: | 1013108539 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NCC, LPC |
License Number: | 000191 |
Business Practice Address: | 387 Danbury Rd Wilton, CT - 068972529 |
Business Phone Number: | 2036411866 |
Business Fax Number: | |
Mailing Address: | 387 Danbury Rd, WILTON |
State: | CT |
Postal Code: | 068972529 |
Phone Number: | 2036411866 |
Fax Number: | |
NPI Enumeration Date: | 08/08/2007 |
NPI Last Update Date: | 08/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 000191 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |