Provider Demographics
NPI:1811183114
Name:YODER, HEIDI FAYE (MFT)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:FAYE
Last Name:YODER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 41ST ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-2411
Mailing Address - Country:US
Mailing Address - Phone:415-378-7506
Mailing Address - Fax:
Practice Address - Street 1:5655 COLLEGE AVE STE 317C
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1673
Practice Address - Country:US
Practice Address - Phone:415-378-7506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 48699106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist