| Doctor Name: | YADIRA BAEZ-LOCKARD |
| NPI Number: | 1144590878 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY. D. |
| License Number: | 1337 |
| Business Practice Address: | 102 Commons Blvd Suite C Piedmont, SC - 296737766 |
| Business Phone Number: | 8642209115 |
| Business Fax Number: | |
| Mailing Address: | 102 Commons Blvd, Suite C PIEDMONT |
| State: | SC |
| Postal Code: | 296737766 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/11/2012 |
| NPI Last Update Date: | 03/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0200X |
| License Number: | 1337 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Forensic |
| Taxonomy Definition: | |