Provider Demographics
NPI:1205906096
Name:KAY, YVONNE E (LPC)
Entity type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:E
Last Name:KAY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8302 OLD YORK ROAD
Mailing Address - Street 2:SUITE 12
Mailing Address - City:ELKIN PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027
Mailing Address - Country:US
Mailing Address - Phone:215-885-9700
Mailing Address - Fax:215-886-7678
Practice Address - Street 1:8302 OLD YORK ROAD
Practice Address - Street 2:SUITE 12
Practice Address - City:ELKIN PARK
Practice Address - State:PA
Practice Address - Zip Code:19027
Practice Address - Country:US
Practice Address - Phone:215-885-9700
Practice Address - Fax:215-886-7678
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004222101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
11627600OtherCAQH