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NPI Code Detail

MEDICARE: STEPHANIE VOIGT YABKO PSYD

MEDICARE: STEPHANIE VOIGT YABKO 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
1103TC0700XClinical Psychologist8819354-2501UT
2103T00000XPsychologist

General Provider Information

NPI Number : 1861837494
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE VOIGT YABKO PSYD
Provider Business Mailing Address
First Line : 265 E 100 S STE 250
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84111-1643
Country : US
Telephone Number : 801-483-2447
Fax Number : 801-486-8705
Provider Business Practice Location Address
First Line : 265 E 100 S STE 250
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84111-1643
Country : US
Telephone Number : 801-483-2447
Fax Number : 801-486-8705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2013
Last Update Date : 12/20/2021

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