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Dianne Lynn Lockman, MS,RN,CNS
Prescribing (Medical) Psychologist in Edina, Minnesota
NPI 1003037524

Dianne Lynn Lockman is a Prescribing (Medical) Psychologist based in Edina, MN and is specialized in Prescribing (Medical). Dianne Lynn Lockman practices in Edina, MN and has the professional credentials of MS,RN,CNS. The NPI Number for Dianne Lynn Lockman is 1003037524 and holds a License No. R055788 (Minnesota).

The current practice location address for Dianne Lynn Lockman is 3919 W 44Th St Ste 200, Edina, MN and can be reached out via phone at 952-922-1977 and via fax at 952-922-1980.

Location: 3919 W 44Th St Ste 200, Edina, MN, 55424-1032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003037524
Provider Name
Dianne Lynn Lockman
Credential
MS,RN,CNS
Provider Entity Type
Individual
Gender
Female
Address
3919 W 44Th St Ste 200, Edina, MN, 55424-1032
Phone Number
952-922-1977
Fax Number
952-922-1980
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4H897LO 01 MN BLUE SHIELD INDIVIDUAL
institution
Provider Business Practice Location Address Details
Address
3919 W 44Th St Ste 200
City
Edina
State
Minnesota
Zip
55424-1032
Phone Number
952-922-1977
Fax Number
952-922-1980
person
Provider Business Mailing Address Details
Address
3919 W 44Th St Ste 200
City
Edina
State
Minnesota
Zip
55424-1032
Phone Number
952-922-1977
Fax Number
952-922-1980
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
R055788 (Minnesota)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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