Provider Demographics
NPI:1114729399
Name:YANKAH, SANDRA EMMANUELLA
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:EMMANUELLA
Last Name:YANKAH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 39TH AVENUE CT NW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-9065
Mailing Address - Country:US
Mailing Address - Phone:323-202-3954
Mailing Address - Fax:
Practice Address - Street 1:188 39TH AVENUE CT NW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-9065
Practice Address - Country:US
Practice Address - Phone:323-202-3954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810008761103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical