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NPI Code Detail

MEDICARE: THERESA YANKE

MEDICARE: THERESA YANKE
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
1106H00000XMarriage & Family Therapist601-124WI

General Provider Information

NPI Number : 1982763777
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESA YANKE
Provider Business Mailing Address
First Line : 200 W ALONA LN
Second Line :
City : LANCASTER
State : WI
Zip : 53813-2202
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 W ALONA LN
Second Line :
City : LANCASTER
State : WI
Zip : 53813-2202
Country : US
Telephone Number : 608-723-6357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2006
Last Update Date : 07/07/2008

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Directions to “ THERESA YANKE ” Practice Location

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