Provider Demographics
NPI:1275855801
Name:YEOMANS, DEBORAH LOCKWOOD (MA)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:LOCKWOOD
Last Name:YEOMANS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:JANE
Other - Last Name:LOCKWOOD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:288 LINWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14209-1802
Mailing Address - Country:US
Mailing Address - Phone:716-886-2200
Mailing Address - Fax:716-667-3248
Practice Address - Street 1:288 LINWOOD AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209-1802
Practice Address - Country:US
Practice Address - Phone:716-886-2200
Practice Address - Fax:716-667-3248
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 20935101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health