Doctor Name: | MRS. KARA YODER |
NPI Number: | 1174543235 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PCC |
License Number: | E0007798 |
Business Practice Address: | 15985 E High St Middlefield, OH - 440629474 |
Business Phone Number: | 4406320332 |
Business Fax Number: | 4406320542 |
Mailing Address: | Po Box 866, 15985 East High Street MIDDLEFIELD |
State: | OH |
Postal Code: | 440620866 |
Phone Number: | 4406320332 |
Fax Number: | 4406320542 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | E0007798 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |