Provider Demographics
NPI:1144079062
Name:LOCKWOOD, FAITH ANN
Entity type:Individual
Prefix:MRS
First Name:FAITH
Middle Name:ANN
Last Name:LOCKWOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 WILKINS AVE
Mailing Address - Street 2:
Mailing Address - City:BROWNS MILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:08015-6038
Mailing Address - Country:US
Mailing Address - Phone:609-234-2529
Mailing Address - Fax:
Practice Address - Street 1:27 WILKINS AVE
Practice Address - Street 2:
Practice Address - City:BROWNS MILLS
Practice Address - State:NJ
Practice Address - Zip Code:08015-6038
Practice Address - Country:US
Practice Address - Phone:609-234-2529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist