Individual
MS. CHANICE TIARA YELDER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1326 TRALEE CIR, ABERDEEN, MD 21001-2642
(443) 987-5907
Mailing address
1326 TRALEE CIR, ABERDEEN, MD 21001-2642
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
Y-436115793640
MD
235500000X
Speech/Language/Hearing Specialist/Technologist
Y-436115793640
MD
Other
Enumeration date
09/19/2017
Last updated
10/16/2017
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