Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PS017047 | PA |
Y | 103T00000X | Psychologist | PS017047 | PA |
N | 103G00000X | Clinical Psychologist | PS017047 | PA |
N | 103TC0700X | Clinical Psychologist | PS017047 | PA |
NPI | 1013298157 |
---|---|
Provider Name | Dr. Jennifer Margaret Yarnell |
First Address | Danville, PA 17822-4903 |
Second Address | Danville, PA 17822-3100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2011 |
Last Update Date | 25/08/2020 |