Provider Demographics
NPI:1821664392
Name:YERKE, VERONIKA (HIS)
Entity Type:Individual
Prefix:MRS
First Name:VERONIKA
Middle Name:
Last Name:YERKE
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508B W SOUTHERN AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17702-7223
Mailing Address - Country:US
Mailing Address - Phone:570-666-3748
Mailing Address - Fax:570-666-3750
Practice Address - Street 1:508B W SOUTHERN AVE
Practice Address - Street 2:
Practice Address - City:SOUTH WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17702-7223
Practice Address - Country:US
Practice Address - Phone:570-666-3748
Practice Address - Fax:570-666-3750
Is Sole Proprietor?:No
Enumeration Date:2021-06-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF03811237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist