SHELLIE DEE LOCKE

KENOSHA, WI
NPI1336319979
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IL  071.007310)
Additional Taxonomies103G00000X Clinical Neuropsychologist
(Licence: WI  2660-057)
103G00000X Clinical Neuropsychologist
(Licence: IL  071.007310)
103TC0700X Psychologist, Clinical
(Licence: WI  2660-057)
Enumeration Date2008-03-11
Last Update Date2008-03-11
Business Address
Dr. SHELLIE DEE LOCKE Ph.D.
9020 15TH AVE
KENOSHA, WI 53143-6803
Phone number: 708-224-7442
Mailing Address
Dr. SHELLIE DEE LOCKE Ph.D.
9020 15TH AVE
KENOSHA, WI 53143-6803
Phone number: 708-224-7442