| Doctor Name: | DR. CARLA MELANIE YORK |
| NPI Number: | 1154472306 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PY6790 |
| Business Practice Address: | 11050 Mount Belvedere Blvd Usa Meddac/credentials Fort Drum, NY - 136025438 |
| Business Phone Number: | 3157724025 |
| Business Fax Number: | 3157729498 |
| Mailing Address: | 11050 Mount Belvedere Blvd, Usa Meddac- Attn: Credentials FORT DRUM |
| State: | NY |
| Postal Code: | 136025438 |
| Phone Number: | 3157724025 |
| Fax Number: | 3157729498 |
| NPI Enumeration Date: | 01/15/2007 |
| NPI Last Update Date: | 08/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY6790 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |