| David A Yudell, Psy.d., P.a. | |
|
5489 Wiles Rd Suite 305 Coconut Creek FL 33073-4220 | |
| (954) 801-7996 | |
| (954) 333-3573 |
| Full Name | David A Yudell, Psy.d., P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 5489 Wiles Rd, Coconut Creek, Florida |
| Authorized Official Name and Position | David A. Yudell (PRESIDENT) |
| Authorized Official Contact | 9548017996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David A Yudell, Psy.d., P.a. 5489 Wiles Rd Suite 305 Coconut Creek FL 33073-4220 Ph: (954) 801-7996 | David A Yudell, Psy.d., P.a. 5489 Wiles Rd Suite 305 Coconut Creek FL 33073-4220 Ph: (954) 801-7996 |
| NPI Number | 1205080074 |
|---|---|
| Provider Enumeration Date | 11/06/2008 |
| Last Update Date | 12/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205080074 | NPI | - | NPPES |
| 769006100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY7134 (Florida) | Primary |
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