Organization
JENNA REID YATES, PH.D., LICENSED CLINICAL PSYCHOLOGIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNA YATES PH.D. (PSYCHOLOGIST)
(217) 899-5412
Entity
Organization
Contact information
Practice address
3233 MATHERS RD STE A, SPRINGFIELD, IL 62711-7900
(217) 414-2064
Mailing address
3233 MATHERS RD STE A, SPRINGFIELD, IL 62711-7900
(121) 741-4206
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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