Mary Locke, Ph.d. LLC
NPI #1548514656 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1548514656
- Entity Type
- Organization
- Organization Name
- Mary Locke, Ph.d. LLC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Oct 29, 2012
- Last Updated
- Oct 29, 2012
Practice Location
- Address
- 7337 W JEFFERSON BLVD
- Address 2
- SUITE 175
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-6284
- Phone
- (260) 436-7131
Authorized Official
- Name
- DR. MARY LOCKE, PH.D.
- Title
- PSYCHOLOGIST
- Phone
- (260) 436-7131
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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