Provider Demographics
NPI:1982623195
Name:YARBROUGH, KRISTI T (PSYD)
Entity type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:T
Last Name:YARBROUGH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4260 CAHABA HEIGHTS CT
Mailing Address - Street 2:STE 182
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-5711
Mailing Address - Country:US
Mailing Address - Phone:205-259-1744
Mailing Address - Fax:205-329-7816
Practice Address - Street 1:4260 CAHABA HEIGHTS CT
Practice Address - Street 2:STE 182
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-5711
Practice Address - Country:US
Practice Address - Phone:205-259-1744
Practice Address - Fax:205-329-7816
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1343103TC0700X
ALAL1343103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051528844OtherBCBS
AL009932921Medicaid
AL051528844Medicare PIN
AL051528844OtherBCBS
ALP81251Medicare UPIN