Doctor Name: | DEVIN J YASTRO |
NPI Number: | 1922472844 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | CAADC- 9334 |
Business Practice Address: | 550 Pinetown Rd Suite 150 Ft Washington, PA - 190342605 |
Business Phone Number: | 2155408301 |
Business Fax Number: | 2155408306 |
Mailing Address: | 4833 Hulmeville Rd, BENSALEM |
State: | PA |
Postal Code: | 190203023 |
Phone Number: | 2156385200 |
Fax Number: | 2156385281 |
NPI Enumeration Date: | 11/16/2015 |
NPI Last Update Date: | 11/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CAADC- 9334 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |