Provider Demographics
NPI:1932447547
Name:YEARDLEY, KARI SUE (MED QBHP)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:SUE
Last Name:YEARDLEY
Suffix:
Gender:F
Credentials:MED QBHP
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:SUE
Other - Last Name:WEINGARTNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED QBHP
Mailing Address - Street 1:285 BIELBY RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47025-1055
Mailing Address - Country:US
Mailing Address - Phone:812-537-0194
Mailing Address - Fax:812-370-0194
Practice Address - Street 1:285 BIELBY RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:IN
Practice Address - Zip Code:47025-1055
Practice Address - Country:US
Practice Address - Phone:812-537-0194
Practice Address - Fax:812-370-0194
Is Sole Proprietor?:No
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health