Yanamayu, Desmond Eugene
Yanamayu, Desmond Eugene is an individual health care provider with primary practice located at 13110 Shaker Sq Ste C-200F , Cleveland OH 44120. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Yanamayu, Desmond Eugene can be contacted via phone (330) 518-4863.Contact Information
Primary practice address
13110 Shaker Sq Ste C-200F
Cleveland OH 44120
Phone: (330) 518-4863
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | SW129424 | Pennsylvania |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I.1600280 | Ohio |
Profile Details
| NPI number | 1437403698 |
|---|---|
| LBN Legal business name | Yanamayu, Desmond Eugene |
| Credentials | LISW-S |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2012 |
| Last updated | Jul 21st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437403698 | NPPES |
| Ohio | MEDICAID | 0247553 |
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