Provider Demographics
NPI:1568541019
Name:YOTHERS, BOBBI LYNN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:BOBBI
Middle Name:LYNN
Last Name:YOTHERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2621 SLOPE HILL RD.
Mailing Address - Street 2:
Mailing Address - City:MT. PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:15666
Mailing Address - Country:US
Mailing Address - Phone:412-554-4039
Mailing Address - Fax:724-537-9516
Practice Address - Street 1:707 LIGONIER ST
Practice Address - Street 2:WESTERN PA BEHAVIORAL HEALTH RESOURCES
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-1825
Practice Address - Country:US
Practice Address - Phone:724-537-9515
Practice Address - Fax:724-537-9516
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0132951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPO5289Medicare UPIN
PA037289-GXWMedicare PIN