Provider Demographics
NPI:1194703249
Name:YEILDING, LOUISE CATHERINE (MFT)
Entity type:Individual
Prefix:MRS
First Name:LOUISE
Middle Name:CATHERINE
Last Name:YEILDING
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1617 S OLA VIS
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92672-4341
Mailing Address - Country:US
Mailing Address - Phone:949-370-5929
Mailing Address - Fax:949-492-6057
Practice Address - Street 1:161 AVENIDA CABRILLO
Practice Address - Street 2:SUITE 1
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92672-4040
Practice Address - Country:US
Practice Address - Phone:949-370-5929
Practice Address - Fax:949-492-6057
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT16119106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist