DR. Jerome Yelder SR., PHD PSYD MBA MS MP

NPI #1548551278 in Columbia, South Carolina

Provider Information

NPI Number: 1548551278
Entity Type: Individual
Name: DR. Jerome Yelder SR., PHD PSYD MBA MS MP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Prescribing (Medical)
Credential: PHD PSYD MBA MS MP
Enumeration Date: Apr 28, 2011
Last Updated: Jul 8, 2020

Practice Location

Address: 1101 BELLEVIEW ST STE 104
City: Columbia
State: South Carolina
ZIP Code: 29201-1863
Phone: (803) 937-1623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Pastoral — Pastoral	101YP1600X
Clinical Neuropsychologist	103G00000X
Military Health Care Provider	171000000X
Contractor	171W00000X
Health Educator	174H00000X
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist — Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	1835P0018X
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X
Psychologist - Prescribing (Medical) — Prescribing (Medical)	103TP0016X	Primary

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