| Doctor Name: | LACEY N YEOMANS |
| NPI Number: | 1740423268 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M ED CCC/SLP |
| License Number: | SLP007059 |
| Business Practice Address: | 3891 Quail Hollow Village Douglas, GA - 31535 |
| Business Phone Number: | 9123310846 |
| Business Fax Number: | 9123310847 |
| Mailing Address: | 1281 Clifford Loop, BLACKSHEAR |
| State: | GA |
| Postal Code: | 315165917 |
| Phone Number: | 9123876126 |
| Fax Number: | |
| NPI Enumeration Date: | 04/14/2009 |
| NPI Last Update Date: | 04/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP007059 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |