Individual
MR. MICHAEL ROBERT YOURON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
215 GILEAD RD, SUITE 200, HUNTERSVILLE, NC 28078-6820
(570) 498-5515
(704) 997-4996
Mailing address
215 GILEAD RD, SUITE 200, HUNTERSVILLE, NC 28078-6820
(570) 498-5515
(704) 997-4996
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-005923-L
PA
103TB0200X
Cognitive & Behavioral Psychologist
3809
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078668
FIRST PRIORITY HEALTH HMO
PA
01
—
667768
HIGHMARK BC/BS
PA
01
—
7869127
AETNA
PA
Enumeration date
02/06/2007
Last updated
07/19/2012
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