| Edith A. Yoder, Mssa Pc | |
|
1536 E. Maryland Ave Ste C101 Phoenix AZ 85014-1470 | |
| (602) 266-2282 | |
| (602) 266-1171 |
| Full Name | Edith A. Yoder, Mssa Pc |
|---|---|
| Speciality | Social Worker |
| Location | 1536 E. Maryland Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Edith A. Yoder (PRESIDENT) |
| Authorized Official Contact | 6022662282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edith A. Yoder, Mssa Pc 1536 E. Maryland Ave Ste C101 Phoenix AZ 85014-1470 Ph: (602) 266-2282 | Edith A. Yoder, Mssa Pc 1536 E. Maryland Ave Ste C101 Phoenix AZ 85014-1470 Ph: (602) 266-2282 |
| NPI Number | 1225580210 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 10/26/2016 |
| Medicare PECOS PAC ID | 8527346188 |
|---|---|
| Medicare Enrollment ID | O20161102000628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225580210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-0658 (Arizona) | Primary |
| Provider Name | Edith A Yoder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033180575 PECOS PAC ID: 5799063350 Enrollment ID: I20161102000760 |
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