Provider Demographics
NPI:1316189962
Name:DEMING, YVONNE PASSAVANT
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:PASSAVANT
Last Name:DEMING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15306 HIDDEN ARBOR CT
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:FL
Mailing Address - Zip Code:33556-3157
Mailing Address - Country:US
Mailing Address - Phone:813-472-9180
Mailing Address - Fax:
Practice Address - Street 1:15306 HIDDEN ARBOR CT
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:FL
Practice Address - Zip Code:33556-3157
Practice Address - Country:US
Practice Address - Phone:813-472-9180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-28
Last Update Date:2009-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor