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Individual

THERESA LOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
15 S GRADY WAY STE 347, RENTON, WA 98057-3242
(206) 328-8889
(206) 328-8884
Mailing address
PO BOX 84625, SEATTLE, WA 98124-5925
(206) 328-8889
(206) 328-8884

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00003514
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2012099
WA
Enumeration date
10/25/2007
Last updated
09/15/2025
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