Provider Demographics
NPI:1831406099
Name:STEVENSON, YVONNE CORDOVA (MT-BC)
Entity type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:CORDOVA
Last Name:STEVENSON
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:MRS
Other - First Name:YVONNE
Other - Middle Name:CORDOVA
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MT-BC
Mailing Address - Street 1:10633 N 70TH AVE
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345-6159
Mailing Address - Country:US
Mailing Address - Phone:623-418-8074
Mailing Address - Fax:
Practice Address - Street 1:6306 N 7TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-1549
Practice Address - Country:US
Practice Address - Phone:602-279-0785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist