Doctor Name: | DR. REBECCA GAIL YASUNAGA |
NPI Number: | 1831218858 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 06-38P |
Business Practice Address: | 705 Atlas Dr Whiteman Afb, MO - 653051279 |
Business Phone Number: | 5012882588 |
Business Fax Number: | 5012882588 |
Mailing Address: | 705 Atlas Dr, WHITEMAN AFB |
State: | MO |
Postal Code: | 653051279 |
Phone Number: | 5012882588 |
Fax Number: | 5012882588 |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 12/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | 06-38P |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |