Individual
DR. ELIZABETH A YODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
200 MESSIMER DR, NEWARK, OH 43055
(220) 564-4873
(220) 564-1871
Mailing address
200 MESSIMER DR, NEWARK, OH 43055
(220) 564-4873
(220) 564-1871
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34-011482
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110390
—
OH
01
—
34-011482
OHIO MEDICAL LICENSE
OH
Enumeration date
10/25/2006
Last updated
03/18/2021
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