Individual
DR. YADIRA BAEZ-LOCKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
102 COMMONS BLVD, SUITE C, PIEDMONT, SC 29673-7766
(864) 520-8152
Mailing address
102 COMMONS BLVD, SUITE C, PIEDMONT, SC 29673-7766
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1337
SC
103TF0200X
Forensic Psychologist
1337
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366834160
NPPES
—
Enumeration date
01/11/2012
Last updated
11/08/2023
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