| Doctor Name: | MS. PATRICIA SUE YARDLEY |
| NPI Number: | 1124171186 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | CSW003299 |
| Business Practice Address: | 315 E Cotati Ave Ste G Cotati, CA - 949317801 |
| Business Phone Number: | 5038536847 |
| Business Fax Number: | |
| Mailing Address: | Po Box 554, PENNGROVE |
| State: | CA |
| Postal Code: | 949510554 |
| Phone Number: | 5038536847 |
| Fax Number: | |
| NPI Enumeration Date: | 01/20/2007 |
| NPI Last Update Date: | 02/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CSW003299 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |