Provider Demographics
NPI:1447512181
Name:RICHARD, JULIANNE YAVORSKI (PHD)
Entity type:Individual
Prefix:DR
First Name:JULIANNE
Middle Name:YAVORSKI
Last Name:RICHARD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MISS
Other - First Name:JULIANNE
Other - Middle Name:ADELE
Other - Last Name:YAVORSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA, MA
Mailing Address - Street 1:1601 BRENNER AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-2515
Mailing Address - Country:US
Mailing Address - Phone:704-638-9000
Mailing Address - Fax:
Practice Address - Street 1:1601 BRENNER AVE STE 200
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2515
Practice Address - Country:US
Practice Address - Phone:704-638-9000
Practice Address - Fax:393-617-2397
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5602103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical