Individual
DR. MICHELLE YETMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1450 CLAIBORNE AVE, LSUHSC-ALLIED HEALTH CLINICS, SHREVEPORT, LA 71103-4204
(318) 813-2970
(318) 813-2981
Mailing address
1501 KINGS HWY, LSUHSC-ALLIED HEALTH CLINICS, SHREVEPORT, LA 71103-4228
(318) 813-2970
(318) 813-2981
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
908
LA
Other
Enumeration date
03/22/2007
Last updated
11/27/2016
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