Locker Psychological Services, Llc | |
480 W Navajo St Ste B West Lafayette IN 47906-1940 | |
(765) 637-9200 | |
(765) 637-9202 |
Full Name | Locker Psychological Services, Llc |
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Speciality | Psychologist |
Location | 480 W Navajo St Ste B, West Lafayette, Indiana |
Authorized Official Name and Position | Taylor Kathleen Locker (OWNER) |
Authorized Official Contact | 7656379200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Locker Psychological Services, Llc 480 W Navajo St Ste B West Lafayette IN 47906-1940 Ph: (765) 637-9200 | Locker Psychological Services, Llc 480 W Navajo St Ste B West Lafayette IN 47906-1940 Ph: (765) 637-9200 |
NPI Number | 1831615665 |
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Provider Enumeration Date | 08/14/2017 |
Last Update Date | 09/05/2023 |
Certification Date | 09/05/2023 |
Medicare PECOS PAC ID | 1850665308 |
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Medicare Enrollment ID | O20170921001571 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831615665 | NPI | - | NPPES |
Provider Name | Taylor Kathleen Locker |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1982015764 PECOS PAC ID: 2769756212 Enrollment ID: I20170921001953 |
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