Provider Demographics
NPI:1427215565
Name:MCNIECE, YVETTE (MSED)
Entity Type:Individual
Prefix:MRS
First Name:YVETTE
Middle Name:
Last Name:MCNIECE
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 17TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-5907
Mailing Address - Country:US
Mailing Address - Phone:727-822-4494
Mailing Address - Fax:
Practice Address - Street 1:123 17TH AVE SE
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-5907
Practice Address - Country:US
Practice Address - Phone:727-822-4494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist