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Individual

JOHN KELLEY YOST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
601 ELMWOOD AVE, BOX 635, ROCHESTER, NY 14642-0001
(585) 275-7787
(585) 275-2352
Mailing address
601 ELMWOOD AVE, BOX 635, ROCHESTER, NY 14642-0001
(585) 275-7787
(585) 275-2352

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010395
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02306792
NY
Enumeration date
06/29/2006
Last updated
07/08/2007
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