Provider Demographics
NPI:1568503092
Name:YAROCK, SANDRA RUTH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:RUTH
Last Name:YAROCK
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 MURANO DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-2468
Mailing Address - Country:US
Mailing Address - Phone:609-799-8078
Mailing Address - Fax:609-799-1101
Practice Address - Street 1:38 MURANO DR
Practice Address - Street 2:
Practice Address - City:PRINCETON JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08550-2468
Practice Address - Country:US
Practice Address - Phone:609-275-6617
Practice Address - Fax:609-799-1101
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100232800103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist