ROBYN CARROLL-YENKO


Address: 107 Oakledge Dr, Rockledge, FL 32955-5612
Phone: 4074124105

ROBYN CARROLL-YENKO (NPI# 1669832937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669832937
Entity Type Individual
Full Name ROBYN CARROLL-YENKO
Credential M.S., NCSP
Practice Address 107 Oakledge Dr
Rockledge
FL 32955-5612
Mailing Address Po Box 561348
Rockledge
FL 32956
Practice Telephone 4074124105
Mailing Telephone 4074124105
Enumeration Date 2016-03-01
Last Update Date 2020-01-13
NPI Deactivation Date 06/08/2017
NPI Reactivation Date 2020-01-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
SS1222 FL Behavioral Health & Social Service Providers

Office Location

Street Address 107 OAKLEDGE DR
City ROCKLEDGE
State FL
Zip Code 32955-5612

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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

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Competitor

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City ROCKLEDGE
Zip Code 32955

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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