Basic Information
| Provider Information | |||||||||
| NPI: | 1750424313 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | YANKO | ||||||||
| FirstName: | JULIANNE | ||||||||
| MiddleName: | I | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16 WHIPPLETREE LN | ||||||||
| Address2: | |||||||||
| City: | AMHERST | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010023100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4134277606 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 31 HALL DR | ||||||||
| Address2: | |||||||||
| City: | AMHERST | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010022751 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4132565861 | ||||||||
| FaxNumber: | 8666440869 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/14/2007 | ||||||||
| LastUpdateDate: | 04/03/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/03/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TB0200X | 8005 | MA | N | Behavioral Health & Social Service Providers | Psychologist | Cognitive & Behavioral | 103TH0100X | 8005 | MA | N | Behavioral Health & Social Service Providers | Psychologist | Health Service | 103TC0700X | 8005 | MA | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.