Provider Demographics
NPI:1356381123
Name:YAGEL, JOSEPH CRAIG (PHD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:CRAIG
Last Name:YAGEL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 N PARHAM RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-6456
Mailing Address - Country:US
Mailing Address - Phone:804-740-0220
Mailing Address - Fax:804-897-9387
Practice Address - Street 1:906 N PARHAM RD
Practice Address - Street 2:SUITE 204
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-6456
Practice Address - Country:US
Practice Address - Phone:804-740-0220
Practice Address - Fax:804-897-9387
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810002413103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical