1326454018 NPI number — MS. JULIANNA MARIE YONO LLMSW

Table of content: MS. JULIANNA MARIE YONO LLMSW (NPI 1326454018)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326454018 NPI number — MS. JULIANNA MARIE YONO LLMSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
YONO
Provider First Name:
JULIANNA
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LLMSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326454018
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/02/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
26400 LAHSER RD
Provider Second Line Business Mailing Address:
SUITE 220
Provider Business Mailing Address City Name:
SOUTHFIELD
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48033
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-354-8460
Provider Business Mailing Address Fax Number:
248-354-4979

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
26400 LAHSER RD
Provider Second Line Business Practice Location Address:
SUITE 220
Provider Business Practice Location Address City Name:
SOUTHFIELD
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-354-8460
Provider Business Practice Location Address Fax Number:
248-354-4979
Provider Enumeration Date:
07/02/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3434247 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".




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