Healthcare Provider Details

I. General information

NPI: 1043980659
Provider Name (Legal Business Name): MRS. ELIZABETH H YEGGE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2021
Last Update Date: 09/15/2021
Certification Date: 09/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 STONE VILLAGE DR
FORT MILL SC
29708-6588
US

IV. Provider business mailing address

100 STONE VILLAGE DR
FORT MILL SC
29708-6588
US

V. Phone/Fax

Practice location:
  • Phone: 803-373-1159
  • Fax:
Mailing address:
  • Phone: 803-373-1159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number4688
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: