# DR. GEORGETTE YETTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134490444
- **Gender:** F
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 1016 | OK | — |
| 103T00000X | Psychologist | 1230 | KS | Yes |
| 103TB0200X | Cognitive & Behavioral Psychologist | 1016 | OK | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | 1230 | KS | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 1016 | OK | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 1230 | KS | — |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist | 1016 | OK | — |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist | 1230 | KS | — |
| 103TP2701X | Group Psychotherapy Psychologist | 1016 | OK | — |
| 103TP2701X | Group Psychotherapy Psychologist | 1230 | KS | — |
| 103TS0200X | School Psychologist | 1016 | OK | — |
| 103TS0200X | School Psychologist | 1230 | KS | — |

## Other

- **Enumeration date:** 01/18/2012
- **Last updated:** 06/30/2020