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:
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Health care specialties

SpecialtyCodeLicense #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 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609956796 NPPES
New York MEDICAID 02009929

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