Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 012171 | |
Y | 103TC0700X | Clinical Psychologist | 012171 | |
N | 102L00000X | Psychologist | ||
N | 103T00000X | Psychologist | ||
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
N | 103G00000X | Clinical Psychologist | 012171 | NY |
N | 103TC0700X | Clinical Psychologist | 012171 | NY |
N | 103TC1900X | Counseling Psychologist | ||
N | 103TF0200X | Forensic Psychologist | ||
N | 103TH0004X | Health Psychologist | ||
N | 103TR0400X | Rehabilitation Psychologist |
NPI | 1265861488 |
---|---|
Provider Name | Dr. Kathy Faulkner Yates |
First Address | New York, NY 10024-1321 |
Second Address | New York, NY 10024-1030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2013 |
Last Update Date | 07/11/2013 |