Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 4688 | SC |
NPI | 1043980659 |
---|---|
Provider Name | Mrs. Elizabeth H Yegge |
First Address | Fort Mill, SC 29708-6588 |
Second Address | Fort Mill, SC 29708-6588 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2021 |
Last Update Date | 15/09/2021 |