Provider Demographics
NPI:1326188517
Name:LOCKARD, JOY L (MS)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:L
Last Name:LOCKARD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5025 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 2040
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-3451
Mailing Address - Country:US
Mailing Address - Phone:214-736-9955
Mailing Address - Fax:
Practice Address - Street 1:5025 N CENTRAL EXPY
Practice Address - Street 2:SUITE 2040
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-3451
Practice Address - Country:US
Practice Address - Phone:214-736-9955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201472106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist