Provider Demographics
NPI:1447750344
Name:YOUNT, ERIN
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:YOUNT
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 1:110 OKLAHOMA AVE
Mailing Address - Street 2:
Mailing Address - City:PAWHUSKA
Mailing Address - State:OK
Mailing Address - Zip Code:74056-5858
Mailing Address - Country:US
Mailing Address - Phone:580-744-0104
Mailing Address - Fax:
Practice Address - Street 1:110 OKLAHOMA AVE
Practice Address - Street 2:
Practice Address - City:PAWHUSKA
Practice Address - State:OK
Practice Address - Zip Code:74056-5858
Practice Address - Country:US
Practice Address - Phone:580-744-0104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator