Mary Locke, Ph.d. Llc - Fort Wayne, IN

Mary Locke, Ph.d. Llc

Clinical Psychologist in Fort Wayne, Indiana

NPI 1548514656

Mary Locke, Ph.d. Llc is a Clinical Psychologist based in Fort Wayne, IN and is specialized in Clinical. Mary Locke, Ph.d. Llc practices in Fort Wayne, IN. The NPI Number for Mary Locke, Ph.d. Llc is 1548514656 and holds a License No. 20040180 (Indiana).

The current practice location address for Mary Locke, Ph.d. Llc is 7337 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-436-7131 and via fax at 260-436-5123. You can also correspond with Mary Locke, Ph.d. Llc through the mailing address at 7337 W JEFFERSON BLVD, FORT WAYNE, IN - 46804-6284 (mailing address contact number: 260-436-7131).

Location: 7337 W Jefferson Blvd, Fort Wayne, IN, 46804-6284

NPI Number

1548514656

Provider Name

Mary Locke, Ph.d. Llc

Credential

Provider Entity Type

Organization

Address

7337 W Jefferson Blvd, Fort Wayne, IN, 46804-6284

Phone Number

260-436-7131

Fax Number

260-436-5123

Provider Enumeration Date

10/29/2012

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
220850	01	IN	MEDICARE

Address

7337 W Jefferson Blvd

City

Fort Wayne

State

Indiana

Zip

46804-6284

Phone Number

260-436-7131

Fax Number

260-436-5123

Address

7337 W Jefferson Blvd

City

Fort Wayne

State

Indiana

Zip

46804-6284

Phone Number

260-436-7131

Fax Number

260-436-5123

Type

Behavioral Health & Social Service Providers

Classification

Psychologist

Speciality

Clinical

Taxonomy

103TC0700X

License No.

20040180 (Indiana)

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

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