Provider Demographics
NPI:1780694935
Name:YONAI, JAMES A (PHD, CRC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:YONAI
Suffix:
Gender:M
Credentials:PHD, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 GUILFORD RD
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13224-1813
Mailing Address - Country:US
Mailing Address - Phone:315-445-9757
Mailing Address - Fax:
Practice Address - Street 1:138 N. COURT ST.
Practice Address - Street 2:
Practice Address - City:WAMPSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13163-0608
Practice Address - Country:US
Practice Address - Phone:315-366-2727
Practice Address - Fax:315-366-2599
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health