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Individual

TIMOTHY G. LOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2 OLD NEW MILFORD RD, SUITE 2A - LANDMARK OFFICE CENTER, BROOKFIELD, CT 06804-2426
(203) 775-3820
(203) 775-3820
Mailing address
2 OLD NEW MILFORD RD, SUITE 2A - LANDMARK OFFICE CENTER, BROOKFIELD, CT 06804-2426
(203) 775-3820
(203) 775-3820

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002385
CT
103T00000X
Psychologist
014926
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060002385CT01
ANTHEM BLUE CROSS BLUE SH
CT
01
2147508
CIGNA BEHAVIORAL HEALTH
CT
01
250250
MHN HMC
CT
01
P2534362
OXFORD HEALTH PLAN
CT
Enumeration date
04/07/2007
Last updated
07/08/2007
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