Yancey Waggaman, Rebecca
Yancey Waggaman, Rebecca is an individual health care provider with primary practice located at 3071 E Franklin Rd Suite 201, Meridian ID 83642-2376. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Yancey Waggaman, Rebecca can be contacted via phone (208) 807-2877.Contact Information
Primary practice address
3071 E Franklin Rd Suite 201
Meridian ID 83642-2376
Phone: (208) 807-2877
Fax: (208) 807-2888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW1169 | Idaho |
Profile Details
| NPI number | 1821140898 |
|---|---|
| LBN Legal business name | Yancey Waggaman, Rebecca |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Nov 1st, 2016 - about 9 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 | 1821140898 | NPPES |
| Idaho | Other | 000010135718 | REGENCE BLUE SHIELD |
| Idaho | Other | L1831 | REGENCE BLUE SHIELD |
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