| Doctor Name: | MR. MICHAEL ROBERT YOURON |
| NPI Number: | 1083754691 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. |
| License Number: | 3809 |
| Business Practice Address: | 215 Gilead Rd Suite 200 Huntersville, NC - 280786820 |
| Business Phone Number: | 5704985515 |
| Business Fax Number: | 7049974996 |
| Mailing Address: | 215 Gilead Rd, Suite 200 HUNTERSVILLE |
| State: | NC |
| Postal Code: | 280786820 |
| Phone Number: | 5704985515 |
| Fax Number: | 7049974996 |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 07/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 3809 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |