Provider Demographics
NPI:1730760521
Name:YANNI, JOSEPH R (PSY D)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:R
Last Name:YANNI
Suffix:
Gender:M
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 LETICIA RD
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-3617
Mailing Address - Country:US
Mailing Address - Phone:914-525-1325
Mailing Address - Fax:
Practice Address - Street 1:6 LETICIA RD
Practice Address - Street 2:
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709-3617
Practice Address - Country:US
Practice Address - Phone:929-515-1439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024020103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist