Provider Demographics
NPI:1356098909
Name:STROUPE, YVETTE ANN
Entity type:Individual
Prefix:
First Name:YVETTE
Middle Name:ANN
Last Name:STROUPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 THORN ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740-3560
Mailing Address - Country:US
Mailing Address - Phone:681-282-5609
Mailing Address - Fax:
Practice Address - Street 1:106 THORN ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740-3560
Practice Address - Country:US
Practice Address - Phone:681-282-5609
Practice Address - Fax:304-936-6156
Is Sole Proprietor?:No
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)