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NPI Code Detail

MEDICARE: MRS. DONNA LAVOY YARBROUGH MA

MEDICARE: MRS. DONNA LAVOY YARBROUGH 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
1235Z00000XSpeech-Language Pathologist12187TX

General Provider Information

NPI Number : 1568667590
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DONNA LAVOY YARBROUGH MA
Provider Business Mailing Address
First Line : 909 OAK VALLEY RD
Second Line :
City : BURLESON
State : TX
Zip : 76028-6271
Country : US
Telephone Number : 817-269-1982
Fax Number :
Provider Business Practice Location Address
First Line : 901 PENNSYLVANIA AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-2226
Country : US
Telephone Number : 817-335-3030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. DONNA LAVOY YARBROUGH MA” Practice Location

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