Provider Demographics
NPI:1982024543
Name:YOST, CAROLINE (MED, NCC, LBS)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:YOST
Suffix:
Gender:F
Credentials:MED, NCC, LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 GEORGE ST APT 14
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2639
Mailing Address - Country:US
Mailing Address - Phone:724-396-2274
Mailing Address - Fax:
Practice Address - Street 1:552 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-2848
Practice Address - Country:US
Practice Address - Phone:412-429-1908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH000740103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst