Doctor Name: | MR. DAVID H. YUELLS |
NPI Number: | 1053324137 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICSW |
License Number: | ISW00271 |
Business Practice Address: | 84 Harris St Pawtucket, RI - 028611719 |
Business Phone Number: | 4014755075 |
Business Fax Number: | 4013651044 |
Mailing Address: | 84 Harris St, PAWTUCKET |
State: | RI |
Postal Code: | 028611719 |
Phone Number: | 4014755075 |
Fax Number: | 4013651044 |
NPI Enumeration Date: | 08/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | ISW00271 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |