Doctor Name: | RICHARD YANCHAR |
NPI Number: | 1396828471 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 1061-057 |
Business Practice Address: | 394 Williamstowne Suite 202 Delafield, WI - 530182322 |
Business Phone Number: | 2626466404 |
Business Fax Number: | 2626466405 |
Mailing Address: | 394 Williamstowne, Suite 202 DELAFIELD |
State: | WI |
Postal Code: | 530182322 |
Phone Number: | 2626466404 |
Fax Number: | 2626466405 |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 08/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1061-057 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |