Healthcare Provider Details

I. General information

NPI: 1598942955
Provider Name (Legal Business Name): MONICA WOOD YEATER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2008
Last Update Date: 07/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 N FRANKLIN DR
WASHINGTON PA
15301-5893
US

IV. Provider business mailing address

2111 N FRANKLIN DR
WASHINGTON PA
15301-5893
US

V. Phone/Fax

Practice location:
  • Phone: 724-222-2265
  • Fax: 724-222-2254
Mailing address:
  • Phone: 724-222-2265
  • Fax: 724-222-2254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS015995
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: