Individual
DR. DONNA YEISLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2335 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3220
(203) 362-9556
(203) 372-7596
Mailing address
2335 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3220
(203) 362-9556
(203) 372-7596
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002871
CT
103TC0700X
Clinical Psychologist
013314
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02009929
—
NY
Enumeration date
10/16/2006
Last updated
06/10/2009
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