| Yadira Baez-lockard, Psy.d. Llc | |
|
102 Commons Blvd Ste C Piedmont SC 29673-7766 | |
| (864) 220-9115 | |
| Not Available |
| Full Name | Yadira Baez-lockard, Psy.d. Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 102 Commons Blvd Ste C, Piedmont, South Carolina |
| Authorized Official Name and Position | Yadira Baez-lockard (OWNER) |
| Authorized Official Contact | 8642209115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yadira Baez-lockard, Psy.d. Llc 102 Commons Blvd Ste C Piedmont SC 29673-7766 Ph: (864) 220-9115 | Yadira Baez-lockard, Psy.d. Llc 102 Commons Blvd Ste C Piedmont SC 29673-7766 Ph: (864) 220-9115 |
| NPI Number | 1366834160 |
|---|---|
| Provider Enumeration Date | 03/03/2015 |
| Last Update Date | 08/09/2016 |
| Medicare PECOS PAC ID | 9830403054 |
|---|---|
| Medicare Enrollment ID | O20150731017021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366834160 | NPI | - | NPPES |
| PS0566 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1337 (South Carolina) | Primary |
| Provider Name | Yadira I Baez Lockard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144590878 PECOS PAC ID: 7719291939 Enrollment ID: I20150805008980 |
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