Provider Demographics
NPI:1326379355
Name:YEE, DAVID (MED)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:YEE
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 NW 197TH CIR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-3472
Mailing Address - Country:US
Mailing Address - Phone:405-306-5959
Mailing Address - Fax:405-521-1138
Practice Address - Street 1:1505 NW 197TH CIR
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012-3472
Practice Address - Country:US
Practice Address - Phone:405-306-5959
Practice Address - Fax:405-521-1138
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-14
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)