Provider Demographics
NPI:1750615787
Name:YEE, JILLIAN (PSYD)
Entity type:Individual
Prefix:DR
First Name:JILLIAN
Middle Name:
Last Name:YEE
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 1:23 S 8TH ST STE 400
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-2633
Mailing Address - Country:US
Mailing Address - Phone:317-771-2108
Mailing Address - Fax:
Practice Address - Street 1:23 S 8TH ST STE 400
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-2633
Practice Address - Country:US
Practice Address - Phone:317-771-2108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20042275A103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical