Provider Demographics
NPI:1972731412
Name:BOBE, YAMARIS (PSYD)
Entity Type:Individual
Prefix:DR
First Name:YAMARIS
Middle Name:
Last Name:BOBE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:YAMARIS
Other - Middle Name:
Other - Last Name:LAMBOY LOPEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:4537 DARNELL DR
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33872-1705
Mailing Address - Country:US
Mailing Address - Phone:787-672-4114
Mailing Address - Fax:
Practice Address - Street 1:3205 PHYSICIANS WAY
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-5447
Practice Address - Country:US
Practice Address - Phone:863-402-2222
Practice Address - Fax:855-429-8888
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
PR3377103TC0700X
FLPPY309103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPPY309OtherLICENSE
PR3377OtherLICENSE