Provider Demographics
NPI:1134439649
Name:YARRIS, STEVE (PSYD)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:
Last Name:YARRIS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 WEST 57TH STREET
Mailing Address - Street 2:SUITE 8-I
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3411
Mailing Address - Country:US
Mailing Address - Phone:212-308-4838
Mailing Address - Fax:
Practice Address - Street 1:408 WEST 57TH STREET
Practice Address - Street 2:SUITE 8-I
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3411
Practice Address - Country:US
Practice Address - Phone:212-308-4838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-18
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0101141103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral