Provider Demographics
NPI:1245463090
Name:YERKES, LAUREN BROOKE (PSYD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:BROOKE
Last Name:YERKES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 UNF DR
Mailing Address - Street 2:COUNSELING CENTER, BUILDING 2, ROOM 2300
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-7699
Mailing Address - Country:US
Mailing Address - Phone:904-620-2602
Mailing Address - Fax:
Practice Address - Street 1:1 UNF DR
Practice Address - Street 2:COUNSELING CENTER, BUILDING 2, ROOM 2300
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-7699
Practice Address - Country:US
Practice Address - Phone:904-620-2602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-27
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist