Healthcare Provider Details

I. General information

NPI: 1376610949
Provider Name (Legal Business Name): KATHRYN YOCK MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 WINECOFF SCHOOL RD
CONCORD NC
28027-4178
US

IV. Provider business mailing address

11041 DRY STONE DR
HUNTERSVILLE NC
28078-3616
US

V. Phone/Fax

Practice location:
  • Phone: 704-260-6370
  • Fax:
Mailing address:
  • Phone: 336-402-1401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7324
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: