Provider Demographics
NPI:1609343722
Name:YUCHA, CAREN MARGARET
Entity Type:Individual
Prefix:MRS
First Name:CAREN
Middle Name:MARGARET
Last Name:YUCHA
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 1:435 W CEDARVILLE RD
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19465-7406
Mailing Address - Country:US
Mailing Address - Phone:610-326-6114
Mailing Address - Fax:610-469-1291
Practice Address - Street 1:435 W CEDARVILLE RD
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19465-7406
Practice Address - Country:US
Practice Address - Phone:610-326-6114
Practice Address - Fax:610-469-1291
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-26
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAA03428237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
83-0861096OtherIRS