Provider Demographics
NPI:1386967610
Name:WYTHOFF, YULIA (MD)
Entity type:Individual
Prefix:
First Name:YULIA
Middle Name:
Last Name:WYTHOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2014 QUAIL HOLLOW CIR
Mailing Address - Street 2:ROLLING HILLS HOSPITAL
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5967
Mailing Address - Country:US
Mailing Address - Phone:615-628-5700
Mailing Address - Fax:
Practice Address - Street 1:2014 QUAIL HOLLOW CIR
Practice Address - Street 2:ROLLING HILLS HOSPITAL
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5967
Practice Address - Country:US
Practice Address - Phone:615-628-5700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-01
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry