Provider Demographics
NPI:1912055096
Name:YAHNE, CAROLINA ELLEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINA
Middle Name:ELLEN
Last Name:YAHNE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 SOLANO DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87108-1045
Mailing Address - Country:US
Mailing Address - Phone:505-265-8456
Mailing Address - Fax:
Practice Address - Street 1:441 SOLANO DR NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-1045
Practice Address - Country:US
Practice Address - Phone:505-265-8456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM383103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling