Doctor Name: | DR. JENNIFER MARGARET YARNELL |
NPI Number: | 1013298157 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | PS017047 |
Business Practice Address: | 65 N Washington St Wilkes Barre, PA - 187013100 |
Business Phone Number: | 5708229706 |
Business Fax Number: | |
Mailing Address: | 1583 State Route 239, STILLWATER |
State: | PA |
Postal Code: | 17878 |
Phone Number: | 5708648642 |
Fax Number: | |
NPI Enumeration Date: | 09/02/2011 |
NPI Last Update Date: | 09/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS017047 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |