NPI | 1053650903 |
---|---|
Doing Business As | MICHAEL LOCK, PH.D. |
Entity Type | Organization |
Authorized Contact | MICHAEL L LOCK Owner/Physician 918-804-7561 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: OK 611) |
Enumeration Date | 2013-02-12 |
Last Update Date | 2014-01-16 |