Individual
DR. YVONNE PATRICIA TEVERBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3208 STAMM AVE, INDIANAPOLIS, IN 46240-3537
(317) 253-3520
Mailing address
3208 STAMM AVE, INDIANAPOLIS, IN 46240-3537
(317) 253-3520
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
UNIV OF CALIFORNA
CA
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
NONE NECESSARY
IN
175F00000X
Naturopath
NONE NECESSARY
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ES29801751
LICENSED ESTHETICIAN
IN
01
—
NONE REQUIRED
DOCTOR OF NATURAL MEDICNE
IN
Enumeration date
03/17/2007
Last updated
07/07/2015
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