Individual
COURTNEY LOCKHART MCMICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-5245
(617) 638-6826
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2018-01611
NC
2084P0800X
Psychiatry Physician
254755
MA
2084P0804X
Child & Adolescent Psychiatry Physician
254755
MA
2084P0804X
Child & Adolescent Psychiatry Physician
303301
NY
Other
Enumeration date
05/14/2010
Last updated
04/27/2021
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