NPI | 1598083560 |
---|---|
Former Name | COURTNEY LOUKETRA LOCKHART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2018-01611) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 254755) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 254755) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 303301) | |
Enumeration Date | 2010-05-14 |
Last Update Date | 2021-04-27 |