Provider Demographics
NPI:1407053374
Name:YEE, PENNY KAR HOEN (PD PERMIT)
Entity Type:Individual
Prefix:MRS
First Name:PENNY
Middle Name:KAR HOEN
Last Name:YEE
Suffix:
Gender:F
Credentials:PD PERMIT
Other - Prefix:MISS
Other - First Name:PENNY
Other - Middle Name:KAR HOEN
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PD PERMIT
Mailing Address - Street 1:2370 GRANDE VISTA PL
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-1351
Mailing Address - Country:US
Mailing Address - Phone:510-434-7990
Mailing Address - Fax:510-434-7991
Practice Address - Street 1:2275 ARLINGTON DR
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94578-1132
Practice Address - Country:US
Practice Address - Phone:510-481-1222
Practice Address - Fax:510-481-1605
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health