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NPI Code Detail

MEDICARE: LEAH ALEXANDRA SKLADER YOST MA

MEDICARE: LEAH ALEXANDRA SKLADER YOST MA
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
1101YM0800XMental Health CounselorR1690OR

General Provider Information

NPI Number : 1538444328
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH ALEXANDRA SKLADER YOST MA
Provider Business Mailing Address
First Line : 965 TUCKER RD
Second Line : PO BOX 661
City : HOOD RIVER
State : OR
Zip : 97031-9591
Country : US
Telephone Number : 541-386-6665
Fax Number :
Provider Business Practice Location Address
First Line : 965 TUCKER RD
Second Line :
City : HOOD RIVER
State : OR
Zip : 97031-9591
Country : US
Telephone Number : 541-386-6665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2011
Last Update Date : 10/12/2011

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