MEDICARE: DR. STEVEN RAYMOND YALE M.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
1	2084P0800X	Psychiatry Physician	ME79853	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669577920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN RAYMOND YALE M.D.

Provider Business Mailing Address
First Line	:	4806 LONDONDERRY DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-1332
Country	:	US
Telephone Number	:	813-631-8452
Fax Number	:

Provider Business Practice Location Address
First Line	:	17407 BRIDGE HILL CT STE A
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-3522
Country	:	US
Telephone Number	:	813-971-1800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	05/18/2012

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