Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | E2110 | OH |
N | 103TP2701X | Group Psychotherapist |
NPI | 1043329667 |
---|---|
Provider Name | Todd Yordy |
First Address | Ashland, OH 44805 |
Second Address | Ashland, OH 44805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 08/07/2007 |