Individual
KATHRYN YOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
510 CARPENTER AVE, MOORESVILLE, NC 28115-2512
(704) 663-2115
(704) 663-2730
Mailing address
14625 REESE BLVD W APT 301, HUNTERSVILLE, NC 28078-0300
(336) 402-1401
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7324
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143MC
BLUE CROSS BLUE SHIELD #
NC
05
—
7201161
—
NC
05
—
7412602
—
NC
Enumeration date
11/29/2006
Last updated
02/08/2016
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