Healthcare Provider Details

I. General information

NPI: 1306209465
Provider Name (Legal Business Name): SANDRA K YARNE, PH.D., PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2016
Last Update Date: 04/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 LADD ST SUITE 406
PORTSMOUTH NH
03801-4087
US

IV. Provider business mailing address

20 LADD ST SUITE 406
PORTSMOUTH NH
03801-4087
US

V. Phone/Fax

Practice location:
  • Phone: 603-436-2424
  • Fax: 603-433-6341
Mailing address:
  • Phone: 603-436-2424
  • Fax: 603-433-6341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number731
License Number StateNH

VIII. Authorized Official

Name: DR. SANDRA KATHRYN YARNE
Title or Position: PSYCHOLOGIST/OWNER
Credential: PH. D.
Phone: 603-436-2424