Provider Demographics
NPI:1982811170
Name:YEAMANS, NANCY ELAINE (PHD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:ELAINE
Last Name:YEAMANS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 W SOUTHERN AVE
Mailing Address - Street 2:SUITE B-5
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-4714
Mailing Address - Country:US
Mailing Address - Phone:480-844-8400
Mailing Address - Fax:480-839-9949
Practice Address - Street 1:2210 W SOUTHERN AVE
Practice Address - Street 2:SUITE B-5
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-4714
Practice Address - Country:US
Practice Address - Phone:480-844-8400
Practice Address - Fax:480-839-9949
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1648103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical