Stephen R Yerian is a Clinical in Wpafb, Ohio. Stephen R Yerian practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stephen R Yerian is 1669460929. The last update date is 2018-04-07.
Stephen R Yerian's current location address is 4881 Sugar Maple Dr, Wpafb, Ohio. You can contact this provider via phone number 9372576877 and fax number 9376561192. The mailing address for Stephen R Yerian is 4881 Sugar Maple Dr, Wpafb, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen R Yerian |
|---|---|
| Address | 4881 Sugar Maple Dr, Wpafb, Ohio |
| Phone Number | 9372576877 |
| Fax Number | 9376561192 |
| Sole Proprietor | N |
| Credentials | PSY D |
NPI Number Detail
| NPI Number | 1669460929 |
|---|---|
| Provider Enumeration Date | 2005-10-11 |
| Last Updated Date | 2018-04-07 |
Provider Mailing Address Detail
| Address | 4881 Sugar Maple Dr |
|---|---|
| City | Wpafb |
| State | Ohio (OH) |
| Post Code | 454335529 |
| Phone Number | 9372576877 |
| Fax Number | 9376561192 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 5440 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11585412 | OH | CAQH | |
| 367267 | OH | MHN | |
| 560694 | OH | VALUEOPTIONS | |
| 9398707 | OH | PHCS | |
| 374749 | OH | ANTHEM | |
| 310952952003 | OH | HEALTHNET |
Post Comment/ Review Below
Can you provide the Stephen R Yerian's physical address?
The Stephen R Yerian is physically located at 4881 Sugar Maple Dr, in the city of Wpafb, OH, with the postal code 454335529.
What is Stephen R Yerian's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stephen R Yerian is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When did the Stephen R Yerian receive its 1669460929?
The Stephen R Yerian was issued its 1669460929 on 2005-10-11, which is the date when the organization was assigned this unique identifier.
On what date did the Stephen R Yerian receive its 1669460929 assignment from the Centers for Medicare & Medicaid Services?
The Stephen R Yerian was assigned its 1669460929 by the Centers for Medicare & Medicaid Services on 2005-10-11.
As of what date were the details related to Stephen R Yerian most recently updated or revised?
The information pertaining to Stephen R Yerian, including its address, specialty, and other relevant details, was last updated or revised on 2018-04-07.
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