Provider Demographics
NPI:1871879601
Name:YEATS, JANET R
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:R
Last Name:YEATS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 RAMSEY ST
Mailing Address - Street 2:#206
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-2323
Mailing Address - Country:US
Mailing Address - Phone:651-336-6217
Mailing Address - Fax:651-291-8018
Practice Address - Street 1:311 RAMSEY ST
Practice Address - Street 2:#206
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2323
Practice Address - Country:US
Practice Address - Phone:651-336-6217
Practice Address - Fax:651-291-8018
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1733106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist