MEDICARE: CARI YARDLEY PSYD

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	103TC0700X	Clinical Psychologist	PSY24760	CA

General Provider Information

NPI Number	:	1740445451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARI YARDLEY PSYD

Provider Business Mailing Address
First Line	:	6620 VIA DEL ORO
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95119-1392
Country	:	US
Telephone Number	:	408-360-2361
Fax Number	:

Provider Business Practice Location Address
First Line	:	6620 VIA DEL ORO
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95119-1392
Country	:	US
Telephone Number	:	408-360-2361
Fax Number	:

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

Provider Enumeration Date	:	07/22/2008
Last Update Date	:	04/19/2012

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Directions to “ CARI YARDLEY PSYD” Practice Location

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