Provider Demographics
NPI:1144336827
Name:YEE, MARIA RUIZA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:RUIZA
Last Name:YEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S 8TH ST
Mailing Address - Street 2:SUITE 480 WEST
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-2400
Mailing Address - Country:US
Mailing Address - Phone:270-761-0043
Mailing Address - Fax:270-761-0045
Practice Address - Street 1:6TH AVENUE & SPRUCE STREET
Practice Address - Street 2:
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611
Practice Address - Country:US
Practice Address - Phone:484-628-8070
Practice Address - Fax:484-628-5289
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-041907-L101YP2500X, 173000000X, 174400000X
KYTP4152084P0800X, 2084P0805X
PAMD041907L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No173000000XOther Service ProvidersLegal Medicine
No174400000XOther Service ProvidersSpecialist
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYTP415OtherKENTUCKY
KYTP415OtherKENTUCKY
PAE86465Medicare UPIN