Provider Demographics
NPI:1700931086
Name:YEE, SYLVIA L (LMFT)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:L
Last Name:YEE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:KNOTT
Other - Last Name:YEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MFT
Mailing Address - Street 1:1663 DOMINICAN WAY
Mailing Address - Street 2:#110B
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95065-1527
Mailing Address - Country:US
Mailing Address - Phone:831-479-1276
Mailing Address - Fax:831-479-0566
Practice Address - Street 1:1663 DOMINICAN WAY
Practice Address - Street 2:#110B
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95065-1527
Practice Address - Country:US
Practice Address - Phone:831-479-1276
Practice Address - Fax:831-479-0566
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28827106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA931202278OtherTAX ID #