| Doctor Name: | DR. DAVID A YUDELL |
| NPI Number: | 1124117478 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | PY7134 |
| Business Practice Address: | 5489 Wiles Rd Suite 305 Coconut Creek, FL - 330734220 |
| Business Phone Number: | 9548017996 |
| Business Fax Number: | 9543333573 |
| Mailing Address: | 5489 Wiles Rd, Suite 305 COCONUT CREEK |
| State: | FL |
| Postal Code: | 330734220 |
| Phone Number: | 9548017996 |
| Fax Number: | 9543333573 |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 12/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY7134 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |