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NPI 1295900538

NPI 1295900538 : LORI J. YOST PH.D. : FORT WASHINGTON, PA

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General NPI Number Information
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    NPI Number           |    1295900538
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    Entity Type          |    Individual 
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    Provider Name        |    LORI J. YOST PH.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/28/2008
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    Last Update Date     |    06/11/2008
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Provider Practice Location Address
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    Address Line         |    580 VIRGINIA DR STE 141 
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    City                 |    FORT WASHINGTON
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    State                |    PA
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    Zip                  |    19034-2723
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    Country              |    US
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    Telephone            |    215-361-6959
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    Fax                  |    215-361-6195
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Provider Business Mailing Address
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    Address Line         |    642 COWPATH RD #393 
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    City                 |    LANSDALE
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    State                |    PA
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    Zip                  |    19446
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    Country              |    US
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    Telephone            |    215-361-6959
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    Fax                  |    215-361-6195
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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    License Number       |    PS016388
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    License Number State |    PA
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