Individual
RISA YEAMANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
24302 NORTHERN BLVD, LITTLE NECK, NY 11362
(718) 423-6200
Mailing address
13644 71ST RD, FLUSHING, NY 11367-1943
(914) 874-4950
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P12115
NY
103T00000X
Psychologist
—
—
Other
Enumeration date
07/28/2016
Last updated
09/05/2018
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