Provider Demographics
NPI:1508197708
Name:YOCKEY, KATHRYN M (MS)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:M
Last Name:YOCKEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 915
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53082-0915
Mailing Address - Country:US
Mailing Address - Phone:920-558-9755
Mailing Address - Fax:
Practice Address - Street 1:328 MILL ST
Practice Address - Street 2:
Practice Address - City:HOWARDS GROVE
Practice Address - State:WI
Practice Address - Zip Code:53083-1219
Practice Address - Country:US
Practice Address - Phone:920-558-9755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health