| NPI | 1386748796 |
|---|---|
| Former Legal Business Name | LOCKWOOD PSYCHOLOGICAL SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | REBECCA LYNN LOCKWOOD President 847-754-1488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006634) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2014-07-31 |