Yeisley, Donna
Yeisley, Donna is an sole proprietor health care provider with primary practice located at 2335 Black Rock Tpke , Fairfield CT 06825-3220. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Yeisley, Donna can be contacted via phone (203) 362-9556.Contact Information
Primary practice address
2335 Black Rock Tpke
Fairfield CT 06825-3220
Phone: (203) 362-9556
Fax: (203) 372-7596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 002871 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 013314 | New York |
Profile Details
| NPI number | 1609956796 |
|---|---|
| LBN Legal business name | Yeisley, Donna |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Jun 10th, 2009 - about 17 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 | 1609956796 | NPPES |
| New York | MEDICAID | 02009929 |
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