Provider Demographics
NPI:1083977292
Name:VANUTRECHT, YVONNE ANGELICA (MS ED)
Entity Type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:ANGELICA
Last Name:VANUTRECHT
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 NANCY ALEEN DR
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-4409
Mailing Address - Country:US
Mailing Address - Phone:845-797-0861
Mailing Address - Fax:
Practice Address - Street 1:3 NANCY ALEEN DR
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-4409
Practice Address - Country:US
Practice Address - Phone:845-797-0861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY839800981252Y00000X
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No252Y00000XAgenciesEarly Intervention Provider Agency