Doctor Name: | CYNTHIA L LOCKWOOD |
NPI Number: | 1306068796 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS |
License Number: | |
Business Practice Address: | 138 South Main Afton, OK - 74331 |
Business Phone Number: | 9182574244 |
Business Fax Number: | 9182574247 |
Mailing Address: | Po Box 160, AFTON |
State: | OK |
Postal Code: | 743310160 |
Phone Number: | 9182574244 |
Fax Number: | 9182574247 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |