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Contact Information

YSELDA T YANEZ SOUTHARD, PhD
921 NE 13TH STREET
AMHC 3G100
OKLAHOMA CITY, OK73014
 Phone: 405-456-5183
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for YSELDA T YANEZ SOUTHARD · (Female)

NPI Number 1306341433
Status Active
Credentials PhD
Entity Individual
Enumeration date 03/29/2018
Last updated 03/16/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 33799
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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