Provider Demographics
NPI:1780910869
Name:HEYWOOD, YASMIN
Entity type:Individual
Prefix:
First Name:YASMIN
Middle Name:
Last Name:HEYWOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:681 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84701-1824
Mailing Address - Country:US
Mailing Address - Phone:435-896-6446
Mailing Address - Fax:435-896-8769
Practice Address - Street 1:681 N MAIN ST
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:UT
Practice Address - Zip Code:84701-1824
Practice Address - Country:US
Practice Address - Phone:435-896-6446
Practice Address - Fax:435-896-8769
Is Sole Proprietor?:No
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional