Provider Demographics
NPI:1508013863
Name:YOCKEY, SHARON ELAINE (PC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ELAINE
Last Name:YOCKEY
Suffix:
Gender:F
Credentials:PC
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:ELAINE
Other - Last Name:BIESZCZAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PC
Mailing Address - Street 1:975 KINGSVIEW DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-9562
Mailing Address - Country:US
Mailing Address - Phone:513-228-7854
Mailing Address - Fax:513-228-7848
Practice Address - Street 1:975 KINGSVIEW DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-9562
Practice Address - Country:US
Practice Address - Phone:513-228-7800
Practice Address - Fax:513-228-7848
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC-8390101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health