Provider Demographics
NPI:1306035274
Name:YOST, ANDREA JOHNSON (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:JOHNSON
Last Name:YOST
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:2848 CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17022-9055
Mailing Address - Country:US
Mailing Address - Phone:301-706-7048
Mailing Address - Fax:
Practice Address - Street 1:5405 JONESTOWN RD STE 103
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-4021
Practice Address - Country:US
Practice Address - Phone:301-706-7048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016714103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist