Kenneth Locke, PH.D.

NPI #1659793867 in Moscow, Idaho

Provider Information

NPI Number
1659793867
Entity Type
Individual
Name
Kenneth Locke, PH.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
PH.D.
Enumeration Date
Jan 8, 2014
Last Updated
Jan 8, 2014

Practice Location

Address
121 W SWEET AVE
Address 2
UNIVERSITY OF IDAHO - CHILD & YOUTH STUDY CENTER
City
Moscow
State
Idaho
ZIP Code
83844-4061
Phone
(208) 885-6191

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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