Organization
MARY E LOCKE PHD HSPP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E LOCKE PHD HSPP (PRES)
(317) 272-1838
Entity
Organization
Contact information
Practice address
7337 W JEFFERSON BLVD STE 175, FORT WAYNE, IN 46804-6286
(317) 272-1838
(317) 272-0072
Mailing address
7337 W JEFFERSON BLVD STE 175, FORT WAYNE, IN 46804-6286
(317) 272-1838
(317) 272-0072
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040180
IN
Other
Enumeration date
04/16/2007
Last updated
08/22/2020
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