Provider Demographics
NPI:1205661121
Name:CEPEDA, YARLIN
Entity type:Individual
Prefix:
First Name:YARLIN
Middle Name:
Last Name:CEPEDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 W ALLENTON RD
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-5914
Mailing Address - Country:US
Mailing Address - Phone:786-266-9493
Mailing Address - Fax:
Practice Address - Street 1:140 POINT JUDITH RD # 23
Practice Address - Street 2:
Practice Address - City:NARRAGANSETT
Practice Address - State:RI
Practice Address - Zip Code:02882-3477
Practice Address - Country:US
Practice Address - Phone:401-250-2731
Practice Address - Fax:401-237-0988
Is Sole Proprietor?:No
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health