Provider Demographics
NPI:1841017464
Name:YOKE, TINA M (MA)
Entity type:Individual
Prefix:MRS
First Name:TINA
Middle Name:M
Last Name:YOKE
Suffix:
Gender:F
Credentials:MA
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 490
Mailing Address - Street 2:
Mailing Address - City:LOST CREEK
Mailing Address - State:WV
Mailing Address - Zip Code:26385-0490
Mailing Address - Country:US
Mailing Address - Phone:304-745-5065
Mailing Address - Fax:
Practice Address - Street 1:43 SOUTH STREETCAR WAY
Practice Address - Street 2:
Practice Address - City:LOST CREEK
Practice Address - State:WV
Practice Address - Zip Code:26385-4900
Practice Address - Country:US
Practice Address - Phone:304-745-5065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist