| Jenna Reid Yates, Ph.d., Licensed Clinical Psychologist, Llc | |
|
3233 Mathers Rd Ste A Springfield IL 62711-7900 | |
| (217) 414-2064 | |
| Not Available |
| Full Name | Jenna Reid Yates, Ph.d., Licensed Clinical Psychologist, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3233 Mathers Rd Ste A, Springfield, Illinois |
| Authorized Official Name and Position | Jenna Yates (PSYCHOLOGIST) |
| Authorized Official Contact | 2178995412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Reid Yates, Ph.d., Licensed Clinical Psychologist, Llc 3233 Mathers Rd Ste A Springfield IL 62711-7900 Ph: (121) 741-4206 | Jenna Reid Yates, Ph.d., Licensed Clinical Psychologist, Llc 3233 Mathers Rd Ste A Springfield IL 62711-7900 Ph: (217) 414-2064 |
| NPI Number | 1831820547 |
|---|---|
| Provider Enumeration Date | 06/22/2022 |
| Last Update Date | 06/22/2022 |
| Certification Date | 06/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831820547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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