Provider Demographics
NPI:1851114573
Name:DE LOERA, YOLANDA STEPHANIE (EDD)
Entity type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:STEPHANIE
Last Name:DE LOERA
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 S PASEO DOROTEA
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92264-1406
Mailing Address - Country:US
Mailing Address - Phone:760-416-8250
Mailing Address - Fax:
Practice Address - Street 1:650 S PASEO DOROTEA
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92264-1406
Practice Address - Country:US
Practice Address - Phone:760-416-8250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool