Individual
DR. BENJAMIN ROSS LOCKLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
JD, PHD
Contact information
Practice address
1300 WESTERN BLVD, RALEIGH, NC 27606-2148
(984) 810-5875
Mailing address
630 WESTWOOD DR, GARNER, NC 27529-4580
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6130
NC
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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