Provider Demographics
NPI:1790851103
Name:YOCH, KARIN ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:KARIN
Middle Name:ANN
Last Name:YOCH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 W MAIN ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4683
Mailing Address - Country:US
Mailing Address - Phone:919-286-3453
Mailing Address - Fax:919-286-7033
Practice Address - Street 1:2020 W MAIN ST
Practice Address - Street 2:SUITE 301
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4683
Practice Address - Country:US
Practice Address - Phone:919-286-3453
Practice Address - Fax:919-286-7033
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC827103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2815477Medicare ID - Type Unspecified