Mary Locke, PHD LLC
Mary Locke, PHD LLC is a Clinical Psychologist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2012.
- Licensed in
- IN
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
7337 W Jefferson Blvd Ste 175Fort Wayne, IN 46804-6284
Phone: (260) 436-7131
Fax: (260) 436-5123
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 20040180 (IN) |
|---|
Record details
| NPI number | 1548514656 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mary Locke — Psychologist · (260) 436-7131 |
| NPI enumerated | October 29, 2012 |
| Last updated in NPPES | October 29, 2012 |
| Mailing address | 7337 W Jefferson Blvd, Suite 175, Fort Wayne, IN 46804-6284 |
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