Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0700X | Adult Development & Aging Psychologist | 35S100475200 | NJ |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 35S100475200 | NJ |
Y | 103G00000X | Clinical Psychologist | 35S100475200 | NJ |
Y | 103TC0700X | Clinical Psychologist | 35S100475200 | NJ |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 35S100475200 | NJ |
N | 103TH0004X | Health Psychologist | 35S100475200 | NJ |
NPI | 1427174424 |
---|---|
Provider Name | Dr. Catherine Anne Yeager |
First Address | Fort Gordon, GA 30905-5741 |
Second Address | Fort Gordon, GA 30905-5741 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2007 |
Last Update Date | 10/10/2013 |