Individual
DR. SUSAN K YODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8170 SOUTH AVE, SUITE 1, BOARDMAN, OH 44512-6413
(330) 726-2965
(330) 726-0449
Mailing address
8170 SOUTH AVE, SUITE 1, BOARDMAN, OH 44512-6434
(330) 726-2965
(330) 726-0449
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4568
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0895858
—
OH
Enumeration date
07/17/2006
Last updated
11/27/2007
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