Provider Demographics
NPI:1871857193
Name:YOST, ANDREA (AUD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:
Last Name:YOST
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1191 PINEVIEW DR STE H3
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-2778
Mailing Address - Country:US
Mailing Address - Phone:304-599-6762
Mailing Address - Fax:
Practice Address - Street 1:1191 PINEVIEW DR STE H3
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-2778
Practice Address - Country:US
Practice Address - Phone:304-599-6762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA237600000X, 237700000X
PAAT006276231H00000X
WVA-0286231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA255781YAUROtherMEDICARE