Individual
DR. TAYLOR KATHLEEN LOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
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
073687
IA
103T00000X
Psychologist
20043054A
IN
103TC0700X
Clinical Psychologist
Primary
20043054A
IN
103TC1900X
Counseling Psychologist
—
—
103TH0100X
Health Service Psychologist
—
IN
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
05/14/2014
Last updated
09/01/2023
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