Individual
DR. AUDRA YACKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
17 SENIOR ST, NEW BRUNSWICK, NJ 08901-8534
(732) 932-7884
Mailing address
17 SENIOR ST, NEW BRUNSWICK, NJ 08901-8534
(732) 932-7884
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00422100
NJ
Other
Enumeration date
11/02/2006
Last updated
01/14/2010
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