Provider Demographics
NPI:1063755254
Name:MCDONALD-YUSE, KELSEY MICHELLE
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:MICHELLE
Last Name:MCDONALD-YUSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:MICHELLE
Other - Last Name:MCDONALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3401 W PARMER LN
Mailing Address - Street 2:#2822
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78727-4153
Mailing Address - Country:US
Mailing Address - Phone:425-923-0957
Mailing Address - Fax:
Practice Address - Street 1:3401 W PARMER LN
Practice Address - Street 2:#2822
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78727-4153
Practice Address - Country:US
Practice Address - Phone:425-923-0957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-05
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant