Mardis, Yvette
Mardis, Yvette is an sole proprietor health care provider with primary practice located at 11021 73Rd Rd Suite 1J, Forest Hills NY 11375-6348. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mardis, Yvette can be contacted via phone (718) 699-8838.Contact Information
Primary practice address
11021 73Rd Rd Suite 1J
Forest Hills NY 11375-6348
Phone: (718) 699-8838
Fax: (718) 699-8838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R023446 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C005483 | North Carolina |
Profile Details
| NPI number | 1013906767 |
|---|---|
| LBN Legal business name | Mardis, Yvette |
| Credentials | PH.D., LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Dec 15th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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