Doctor Name: | MS. MARY FRANCES LOCKWOOD |
NPI Number: | 1043449424 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, ALC |
License Number: | C1502A |
Business Practice Address: | 218 Wicklow Dr Dothan, AL - 363031647 |
Business Phone Number: | 3347146597 |
Business Fax Number: | |
Mailing Address: | 218 Wicklow Dr, DOTHAN |
State: | AL |
Postal Code: | 363031647 |
Phone Number: | 3347146597 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2009 |
NPI Last Update Date: | 07/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | C1502A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |