Healthcare Provider Details

I. General information

NPI: 1851973804
Provider Name (Legal Business Name): SYLVIA KATHLEEN YEAGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2021
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2907 PLEASANT VALLEY BLVD
ALTOONA PA
16602-4305
US

IV. Provider business mailing address

112 SWEET CHERRY CT
HOLLIDAYSBURG PA
16648-3203
US

V. Phone/Fax

Practice location:
  • Phone: 814-943-8164
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPI122684
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: