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NPI Code Detail

MEDICARE: STEPHEN I. YAEGER PH.D.

MEDICARE:   STEPHEN I. YAEGER  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPY0002704FL

General Provider Information

NPI Number : 1013137744
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN I. YAEGER PH.D.
Provider Business Mailing Address
First Line : 1500 SAN REMO AVE
Second Line : #178
City : CORAL GABLES
State : FL
Zip : 33146-3043
Country : US
Telephone Number : 305-661-8228
Fax Number : 305-661-6148
Provider Business Practice Location Address
First Line : 1500 SAN REMO AVE
Second Line : #178
City : CORAL GABLES
State : FL
Zip : 33146-3043
Country : US
Telephone Number : 305-661-8228
Fax Number : 305-661-6148
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 07/08/2007

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Directions to “ STEPHEN I. YAEGER PH.D.” Practice Location

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