Individual
PATRICIA LB LOCKYEAR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSYD LP
Contact information
Practice address
1875 NORTHWESTERN AVE S, STILLWATER, MN 55082-7534
(651) 439-4840
Mailing address
1875 NORTHWESTERN AVE S, STILLWATER, MN 55082-7534
(651) 439-4840
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4643
MN
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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