Provider Demographics
NPI:1942342415
Name:YARNE, SANDRA KATHRYN (PHD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:KATHRYN
Last Name:YARNE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:
Other - Last Name:WEINSTOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 LADD STREET
Mailing Address - Street 2:SUITE 405
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4080
Mailing Address - Country:US
Mailing Address - Phone:603-436-2424
Mailing Address - Fax:603-433-6341
Practice Address - Street 1:20 LADD STREET
Practice Address - Street 2:SUITE 405
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4080
Practice Address - Country:US
Practice Address - Phone:603-436-2424
Practice Address - Fax:603-433-6341
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH731103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
11540937OtherCAQH
11540937OtherCAQH
NH30422606Medicare ID - Type Unspecified