Provider Demographics
NPI:1306223581
Name:YARBER, MELODIE (MA)
Entity Type:Individual
Prefix:
First Name:MELODIE
Middle Name:
Last Name:YARBER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2206
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33568-2206
Mailing Address - Country:US
Mailing Address - Phone:813-374-6255
Mailing Address - Fax:
Practice Address - Street 1:7206 ALAFIA DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-4506
Practice Address - Country:US
Practice Address - Phone:813-658-8537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-27
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool