Jenna Reid Yates, Ph.d., Licensed Clinical Psychologist, LLC

NPI #1831820547 in Springfield, Illinois

Provider Information

NPI Number: 1831820547
Entity Type: Organization
Organization Name: Jenna Reid Yates, Ph.d., Licensed Clinical Psychologist, LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jun 22, 2022
Last Updated: Jun 22, 2022

Practice Location

Address: 3233 MATHERS RD STE A
City: Springfield
State: Illinois
ZIP Code: 62711-7900
Phone: (217) 414-2064

Authorized Official

Name: DR. JENNA YATES, PH.D.
Title: PSYCHOLOGIST
Phone: (217) 899-5412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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