Provider Demographics
NPI:1609974823
Name:YALE, BARBARA G (AUDIOLOGIST)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:G
Last Name:YALE
Suffix:
Gender:F
Credentials:AUDIOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 N BELT W
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62226-5937
Mailing Address - Country:US
Mailing Address - Phone:618-235-8083
Mailing Address - Fax:618-641-4777
Practice Address - Street 1:3601 N BELT W
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62226-5937
Practice Address - Country:US
Practice Address - Phone:618-235-8083
Practice Address - Fax:618-641-4777
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147000430231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL371156494OtherHEALTHNET
IL371156494OtherFEIN
IL08232060OtherBLUE CROSS/ILLINOIS
IL126800OtherBLUE CHOICE/MISSOURI
IL259553OtherHEALTHLINK
IL371156494OtherMERCY HEALTH PLANS
IL4500110OtherUNITED HEALTH CARE
IL640001199OtherRAILROAD RETIREMENT
IL259553OtherHEALTHLINK
IL371156494OtherHEALTHNET