Provider Demographics
NPI:1942627286
Name:YOST, DANIEL (PROFESSIONAL COUNSEL)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:YOST
Suffix:
Gender:M
Credentials:PROFESSIONAL COUNSEL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 CHESTNUT STREET
Mailing Address - Street 2:JEFFERSON DEPT. OF PSYCHIATRY
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107
Mailing Address - Country:US
Mailing Address - Phone:215-503-2823
Mailing Address - Fax:215-923-8219
Practice Address - Street 1:833 CHESTNUT STREET
Practice Address - Street 2:JEFFERSON DEPT. OF PSYCHIATRY SUITE 210
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107
Practice Address - Country:US
Practice Address - Phone:215-503-2823
Practice Address - Fax:215-923-8219
Is Sole Proprietor?:No
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006311101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional