Provider Demographics
NPI:1376955146
Name:YOCOM, ADRIAN LOUISE (SLP-CCC)
Entity type:Individual
Prefix:MRS
First Name:ADRIAN
Middle Name:LOUISE
Last Name:YOCOM
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1664 ALLENDALE DR
Mailing Address - Street 2:
Mailing Address - City:NOLENSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37135-8455
Mailing Address - Country:US
Mailing Address - Phone:615-364-7737
Mailing Address - Fax:
Practice Address - Street 1:1664 ALLENDALE DR
Practice Address - Street 2:
Practice Address - City:NOLENSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37135-8455
Practice Address - Country:US
Practice Address - Phone:615-364-7737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-28
Last Update Date:2024-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3867235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist