Provider Demographics
NPI:1922472844
Name:YASTRO, DEVIN J
Entity Type:Individual
Prefix:
First Name:DEVIN
Middle Name:J
Last Name:YASTRO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4833 HULMEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-3023
Mailing Address - Country:US
Mailing Address - Phone:215-638-5200
Mailing Address - Fax:215-638-5281
Practice Address - Street 1:550 PINETOWN RD
Practice Address - Street 2:SUITE 150
Practice Address - City:FT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-2605
Practice Address - Country:US
Practice Address - Phone:215-540-8301
Practice Address - Fax:215-540-8306
Is Sole Proprietor?:No
Enumeration Date:2015-11-16
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACAADC- 9334101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)