| Doctor Name: | MR. DALE A YENNEY |
| NPI Number: | 1881722742 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW |
| License Number: | LW00004307 |
| Business Practice Address: | 21587 S Lakeview Dr Worley, ID - 838767614 |
| Business Phone Number: | 2087697127 |
| Business Fax Number: | |
| Mailing Address: | 21587 S Lakeview Dr, WORLEY |
| State: | ID |
| Postal Code: | 838767614 |
| Phone Number: | 2087697127 |
| Fax Number: | |
| NPI Enumeration Date: | 03/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LW00004307 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |