Basic Information
| Provider Information | |||||||||
| NPI: | 1952377509 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JANVIER | ||||||||
| FirstName: | YVETTE | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 783311 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191783311 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4848844450 | ||||||||
| FaxNumber: | 4848840699 | ||||||||
| Practice Location | |||||||||
| Address1: | 1611 POND RD STE 400 | ||||||||
| Address2: | |||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181042258 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6103954300 | ||||||||
| FaxNumber: | 6105309372 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/24/2006 | ||||||||
| LastUpdateDate: | 11/20/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0006X | 25MA05092300 | NJ | N | Allopathic & Osteopathic Physicians | Pediatrics | Developmental – Behavioral Pediatrics | 2080P0006X | MD464702 | PA | Y | Allopathic & Osteopathic Physicians | Pediatrics | Developmental – Behavioral Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 18232 | 01 | NJ | UNIVERSITY HEALTH PLANS | OTHER | 4324993 | 01 | NJ | AETNA | OTHER | 2097755 | 01 | NJ | CIGNA BEHAVIORAL HEALTH | OTHER | 221487148 | 01 | NJ | DEVON HEALTH NETWORK | OTHER | 4831102 | 01 | NJ | CIGNA HEALTHCARE | OTHER | 221487148 | 01 | NJ | UNITED HEALTHCARE | OTHER | 221487148-009 | 01 | NJ | QUALCARE INC | OTHER | 23681 | 01 | NJ | AMERIGROUP | OTHER | F00644 | 01 | NJ | HEALTHNET | OTHER | 01000310500 | 01 | NJ | AMERICHOICE | OTHER | 221487148 | 01 | NJ | GREAT WEST | OTHER | P3167996 | 01 | NJ | OXFORD HEALTH PLANS | OTHER | 221487148 | 01 | NJ | HORIZON BCBS NJ | OTHER | 109632 | 01 | NJ | HORIZON NJ HEALTH | OTHER | 221487148 | 01 | NJ | MULTIPLAN | OTHER | S51B01 | 01 | NJ | EMPIRE | OTHER |