Doctor Name: | PATRICK YATES |
NPI Number: | 1265620876 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | PC3700600160 |
Business Practice Address: | 16 Merry Ln East Hanover, NJ - 079363902 |
Business Phone Number: | 9738842488 |
Business Fax Number: | 8664557310 |
Mailing Address: | 16 Merry Ln, EAST HANOVER |
State: | NJ |
Postal Code: | 079363902 |
Phone Number: | 9738842488 |
Fax Number: | 8664557310 |
NPI Enumeration Date: | 10/09/2007 |
NPI Last Update Date: | 10/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC3700600160 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |