| Doctor Name: | JANE YEATTER |
| NPI Number: | 1013235167 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | PC004185 |
| Business Practice Address: | 3544 N Progress Ave Suite 110 Harrisburg, PA - 171109480 |
| Business Phone Number: | 7179017380 |
| Business Fax Number: | 7179017383 |
| Mailing Address: | 3544 N Progress Ave, Suite 110 HARRISBURG |
| State: | PA |
| Postal Code: | 171109480 |
| Phone Number: | 7179017380 |
| Fax Number: | 7179017383 |
| NPI Enumeration Date: | 05/13/2010 |
| NPI Last Update Date: | 05/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | PC004185 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |