Most Relevant Information
Provider Data
| NPI Number: | 1003266081 |
| Provider Name: | KAITLYN YALE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/21/2016 |
| Last Updated: | 06/21/2016 |
Provider Practice Location
439 SCRANTON AVE
LYNBROOK
NY
115633317
Practice Location Phone/Fax
| Phone: | 5166620648 |
| Fax: |
Provider Mailing Location
439 SCRANTON AVE
LYNBROOK
NY
115633317
Provider Mailing Phone/Fax
| Phone: | 5166620648 |
| Fax: |