Organization
YADIRA BAEZ-LOCKARD, PSY.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YADIRA BAEZ-LOCKARD PSY.D. (OWNER)
(864) 220-9115
Entity
Organization
Contact information
Practice address
102 COMMONS BLVD STE C, PIEDMONT, SC 29673-7766
(864) 220-9115
Mailing address
102 COMMONS BLVD STE C, PIEDMONT, SC 29673-7766
(864) 220-9115
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1337
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0566
—
SC
Enumeration date
03/03/2015
Last updated
08/09/2016
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