Individual
DR. STEPHEN R YERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 257-6877
(937) 656-1192
Mailing address
1028 S MAIN ST, WASHINGTON COURT HOUSE, OH 43160-1958
(740) 335-2720
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5440
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000374749
ANTHEM
OH
01
—
11585412
CAQH
OH
01
—
310952952003
HEALTHNET
OH
01
—
367267
MHN
OH
01
—
560694
VALUEOPTIONS
OH
01
—
9398707
PHCS
OH
Enumeration date
10/11/2005
Last updated
04/07/2018
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