| Doctor Name: | MICHAEL LOCKMAN |
| NPI Number: | 1982001590 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | LGP5220 |
| Business Practice Address: | 6707 Whitestone Rd Suite 107 Gwynn Oak, MD - 212074106 |
| Business Phone Number: | 4102658737 |
| Business Fax Number: | 4102651258 |
| Mailing Address: | 6707 Whitestone Rd, Suite 107 GWYNN OAK |
| State: | MD |
| Postal Code: | 212074106 |
| Phone Number: | 4102658737 |
| Fax Number: | 4102651258 |
| NPI Enumeration Date: | 11/25/2014 |
| NPI Last Update Date: | 11/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | LGP5220 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |