Tenaya Latrice Yarbrough-Maxwell, M.A.-CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP17764 Issued in CA

Practice address

4602 W Oslin Ave
Fresno, CA 93722-7368

Phone

(559) 761-3813

NPI assigned

Aug 26, 2014

Last updated

Aug 26, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1003216128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 W OSLIN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937227368",
            "telephone_number": "559-761-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 W OSLIN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937227368",
            "telephone_number": "559-761-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARBROUGH-MAXWELL",
        "first_name": "TENAYA",
        "middle_name": "LATRICE",
        "credential": "M.A.-CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP17764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zuag Yang, PA
• Yannis M Stavropoulos MD Inc
• Albert Yao, O.D.
• Jo Ann Yao
• Sinan Yaqoob
• Sanaz Yashari, PHARM D
• Eric Yates
• Mike C Yates, MA, PPS
• Steven Douglas Yatrofsky, DMD
• Bianca Yau, DDS

• Speech-Language Pathologist in Fresno, CA
• Providers in Fresno, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.