Doctor Name: | DR. DEBORAH A YESU |
NPI Number: | 1477755452 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 7591 |
Business Practice Address: | 35 Post Office Park Ste 3504 Wilbraham, MA - 010951186 |
Business Phone Number: | 4135966922 |
Business Fax Number: | |
Mailing Address: | 28 Roseland Ter, LONGMEADOW |
State: | MA |
Postal Code: | 011061128 |
Phone Number: | 4135673080 |
Fax Number: | |
NPI Enumeration Date: | 06/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | 7591 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |