Provider Demographics
NPI:1699870097
Name:WEBER, YOLANDA KLEIN (PH D)
Entity type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:KLEIN
Last Name:WEBER
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8220 NORTHCREEK DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2288
Mailing Address - Country:US
Mailing Address - Phone:513-984-2284
Mailing Address - Fax:513-984-2478
Practice Address - Street 1:8220 NORTHCREEK DR
Practice Address - Street 2:SUITE 110
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2288
Practice Address - Country:US
Practice Address - Phone:513-984-2284
Practice Address - Fax:513-984-2478
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4759103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist