Provider Demographics
NPI:1447146360
Name:THOMASSON, YVETTE (EDD)
Entity type:Individual
Prefix:DR
First Name:YVETTE
Middle Name:
Last Name:THOMASSON
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 HERRINGTON DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-1510
Mailing Address - Country:US
Mailing Address - Phone:301-257-8999
Mailing Address - Fax:
Practice Address - Street 1:8855 ANNAPOLIS RD STE 206
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2953
Practice Address - Country:US
Practice Address - Phone:301-257-8999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC16049261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service