Individual
DR. YENDER DOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DCC
Contact information
Practice address
12555 ORANGE DR STE 210, DAVIE, FL 33330-4304
(954) 860-2095
Mailing address
12555 ORANGE DR STE 210, DAVIE, FL 33330-4304
(954) 860-2095
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
246Z00000X
Other Specialist/Technologist
—
—
Other
Enumeration date
02/09/2020
Last updated
02/09/2020
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