Individual
JOHN A. YOZWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
UNIVERSITY OF KENTUCKY ADOLESCENT MED, 740 SOUTH LIMESTONE, LEXINGTON, KY 40536
(859) 323-1897
Mailing address
UNIVERSITY OF KENTUCKY ADOLESCENT MED, 740 SOUTH LIMESTONE, LEXINGTON, KY 40536-0284
(859) 323-1897
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
128993
KY
103TC0700X
Clinical Psychologist
KY 1540
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078H8YO
BCBS
MN
05
—
134927900
—
MN
01
—
795T2YO
BCBS PCC
MN
01
—
HP61833
HEALTHPARTNERS
MN
Enumeration date
10/03/2006
Last updated
09/07/2018
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