Provider Demographics
NPI:1609298488
Name:SCHWENK, YVETTE D (MS, LPE-I)
Entity Type:Individual
Prefix:MS
First Name:YVETTE
Middle Name:D
Last Name:SCHWENK
Suffix:
Gender:F
Credentials:MS, LPE-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 CANE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:BEEBE
Mailing Address - State:AR
Mailing Address - Zip Code:72012-9764
Mailing Address - Country:US
Mailing Address - Phone:501-831-5180
Mailing Address - Fax:
Practice Address - Street 1:149 CANE CREEK RD
Practice Address - Street 2:
Practice Address - City:BEEBE
Practice Address - State:AR
Practice Address - Zip Code:72012-9764
Practice Address - Country:US
Practice Address - Phone:501-831-5180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR93-14EI103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist