| Audrey J Yeaton Psychotherapy, Llc | |
|
433 Us Route 1 Suite 215 York ME 03909-1659 | |
| (207) 337-5507 | |
| Not Available |
| Full Name | Audrey J Yeaton Psychotherapy, Llc |
|---|---|
| Speciality | Counselor |
| Location | 433 Us Route 1, York, Maine |
| Authorized Official Name and Position | Audrey J Yeaton (PSYCHOTHERAPIST, OWNER) |
| Authorized Official Contact | 2073375507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Audrey J Yeaton Psychotherapy, Llc 433 Us Route 1 Suite 215 York ME 03909-1659 Ph: (207) 337-5507 | Audrey J Yeaton Psychotherapy, Llc 433 Us Route 1 Suite 215 York ME 03909-1659 Ph: (207) 337-5507 |
| NPI Number | 1205204831 |
|---|---|
| Provider Enumeration Date | 09/14/2015 |
| Last Update Date | 09/14/2015 |
| Medicare PECOS PAC ID | 5092011858 |
|---|---|
| Medicare Enrollment ID | O20160304001565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205204831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LC11472 (Maine) | Primary |
| Provider Name | Audrey J Yeaton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891703674 PECOS PAC ID: 4981781077 Enrollment ID: I20080415000051 |
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