Healthcare Provider Details

I. General information

NPI: 1356643704
Provider Name (Legal Business Name): EMILY BETH YOST LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2010
Last Update Date: 08/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 CHESTER PIKE
SHARON HILL PA
19079-1400
US

IV. Provider business mailing address

800 CHESTER PIKE
SHARON HILL PA
19079-1400
US

V. Phone/Fax

Practice location:
  • Phone: 610-537-1720
  • Fax: 610-534-2907
Mailing address:
  • Phone: 610-537-1720
  • Fax: 610-534-2907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW017723
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: