Organization
LOCKER PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAYLOR KATHLEEN LOCKER PH.D. (OWNER)
(765) 637-9200
Entity
Organization
Contact information
Practice address
480 W NAVAJO ST STE B, WEST LAFAYETTE, IN 47906-1940
(765) 637-9200
(765) 637-9202
Mailing address
480 W NAVAJO ST STE B, WEST LAFAYETTE, IN 47906-1940
(765) 637-9200
(765) 637-9202
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20043054A
IN
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
Other
Enumeration date
08/14/2017
Last updated
09/05/2023
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