Provider Demographics
NPI:1003904848
Name:YEO, KATHERINE DONOHUE (LISW)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:DONOHUE
Last Name:YEO
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9125 ALAMEDA BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87122-3707
Mailing Address - Country:US
Mailing Address - Phone:505-843-9572
Mailing Address - Fax:505-884-3230
Practice Address - Street 1:4233 MONTGOMERY BLVD NE STE 200W
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-6707
Practice Address - Country:US
Practice Address - Phone:505-884-8040
Practice Address - Fax:505-884-3230
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI-10561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical