Provider Demographics
NPI:1376872028
Name:YANDELL, STEPHEN E (MED)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:E
Last Name:YANDELL
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 1:87 VILLAGE ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3245
Mailing Address - Country:US
Mailing Address - Phone:781-942-1343
Mailing Address - Fax:
Practice Address - Street 1:87 VILLAGE ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-3245
Practice Address - Country:US
Practice Address - Phone:781-942-1343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)