Doctor Name: | STEPHEN I. YAEGER |
NPI Number: | 1013137744 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PY0002704 |
Business Practice Address: | 1500 San Remo Ave #178 Coral Gables, FL - 331463043 |
Business Phone Number: | 3056618228 |
Business Fax Number: | 3056616148 |
Mailing Address: | 1500 San Remo Ave, #178 CORAL GABLES |
State: | FL |
Postal Code: | 331463043 |
Phone Number: | 3056618228 |
Fax Number: | 3056616148 |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY0002704 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |