Organization · Type 2 NPI

Mary Locke, Ph.d. LLC

Clinical Psychologist · Fort Wayne, IN

NPI number 1548514656 Active

Practice location

7337 W Jefferson Blvd, Suite 175
Fort Wayne, IN 46804-6284

Fax (260) 436-5123

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X20040180 (IN)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1548514656

Mary Locke, Ph.d. LLC's National Provider Identifier is 1548514656, issued on Oct 29, 2012. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 29, 2012.