Individual
DR. YSELDA TAMI YANEZ-SOUTHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
921 NE 13TH STREET, AMHC 3G100, OKLAHOMA CITY, OK 73014
(405) 456-5183
Mailing address
921 NE 13TH STREET, AMHC 3G100, OKLAHOMA CITY, OK 73014
(405) 456-5183
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33799
TX
Other
Enumeration date
03/29/2018
Last updated
03/16/2021
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