MEDICARE: KELSEY MICHELLE MCDONALD-YUSE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst
2	2355S0801X	Speech-Language Assistant

General Provider Information

NPI Number	:	1063755254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY MICHELLE MCDONALD-YUSE

Provider Business Mailing Address
First Line	:	3401 W PARMER LN
Second Line	:	#2822
City	:	AUSTIN
State	:	TX
Zip	:	78727-4153
Country	:	US
Telephone Number	:	425-923-0957
Fax Number	:

Provider Business Practice Location Address
First Line	:	3401 W PARMER LN
Second Line	:	#2822
City	:	AUSTIN
State	:	TX
Zip	:	78727-4153
Country	:	US
Telephone Number	:	425-923-0957
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2013
Last Update Date	:	04/05/2013

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Directions to “ KELSEY MICHELLE MCDONALD-YUSE ” Practice Location

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