Healthcare Provider Details

I. General information

NPI: 1982623195
Provider Name (Legal Business Name): KRISTI T YARBROUGH PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 07/14/2022
Certification Date: 07/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4260 CAHABA HEIGHTS CT STE 182
BIRMINGHAM AL
35243-5711
US

IV. Provider business mailing address

4260 CAHABA HEIGHTS CT STE 182
BIRMINGHAM AL
35243-5711
US

V. Phone/Fax

Practice location:
  • Phone: 205-259-1744
  • Fax: 205-329-7816
Mailing address:
  • Phone: 205-259-1744
  • Fax: 205-329-7816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1343
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberAL1343
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: