Provider Demographics
NPI:1083102990
Name:LOCKE, TROY ALAN
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:ALAN
Last Name:LOCKE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 CHAPMAN LN
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-5015
Mailing Address - Country:US
Mailing Address - Phone:401-247-9280
Mailing Address - Fax:
Practice Address - Street 1:8 COURT ST
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-4402
Practice Address - Country:US
Practice Address - Phone:401-671-2970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-26
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator