Provider Demographics
NPI:1790532422
Name:YAHN, KIERA ASHLEY
Entity type:Individual
Prefix:
First Name:KIERA
Middle Name:ASHLEY
Last Name:YAHN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KIERA
Other - Middle Name:ASHLEY
Other - Last Name:OCONNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 VANDERBILT AVE APT 303
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-2889
Mailing Address - Country:US
Mailing Address - Phone:347-661-1477
Mailing Address - Fax:
Practice Address - Street 1:1 VANDERBILT AVE APT 303
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-2889
Practice Address - Country:US
Practice Address - Phone:347-661-1477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool