| Ronald C. Yarbrough, Ph.d. | |
|
1576 Airport Blvd Pensacola FL 32504-8616 | |
| (850) 478-3888 | |
| (850) 478-0914 |
| Full Name | Ronald C. Yarbrough, Ph.d. |
|---|---|
| Speciality | Psychologist |
| Location | 1576 Airport Blvd, Pensacola, Florida |
| Authorized Official Name and Position | Ronald C. Yarbrough (OWNER) |
| Authorized Official Contact | 8504783888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald C. Yarbrough, Ph.d. 1576 Airport Blvd Pensacola FL 32504-8616 Ph: (850) 478-3888 | Ronald C. Yarbrough, Ph.d. 1576 Airport Blvd Pensacola FL 32504-8616 Ph: (850) 478-3888 |
| NPI Number | 1083917579 |
|---|---|
| Provider Enumeration Date | 12/06/2010 |
| Last Update Date | 12/06/2010 |
| Medicare PECOS PAC ID | 7517154990 |
|---|---|
| Medicare Enrollment ID | O20101210000647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083917579 | NPI | - | NPPES |
| 74180 | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY2717 (Florida) | Primary |
| Provider Name | Ronald C Yarbrough |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376544684 PECOS PAC ID: 1355538737 Enrollment ID: I20101210000626 |
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