Doctor Name: | DR. GREGGUS WINER YAHR |
NPI Number: | 1073653358 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD, NCSP |
License Number: | CC2294 |
Business Practice Address: | 5 Bucknam Rd Suite 1g Falmouth, ME - 041051208 |
Business Phone Number: | 2077811572 |
Business Fax Number: | 2077811593 |
Mailing Address: | 5 Bucknam Rd, Suite 1g FALMOUTH |
State: | ME |
Postal Code: | 041051208 |
Phone Number: | 2077811572 |
Fax Number: | 2077811593 |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | CC2294 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |