Doctor Name: | MARK L YODER |
NPI Number: | 1386680106 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPCC |
License Number: | E3103 |
Business Practice Address: | 6929 W 130th St Suite 500 Parma Heights, OH - 441307878 |
Business Phone Number: | 4408426867 |
Business Fax Number: | 4408428914 |
Mailing Address: | 6929 W 130th St, Suite 500 PARMA HEIGHTS |
State: | OH |
Postal Code: | 441307878 |
Phone Number: | 4408426867 |
Fax Number: | 4408428914 |
NPI Enumeration Date: | 06/21/2006 |
NPI Last Update Date: | 09/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | E3103 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |