Provider Demographics
NPI:1407935240
Name:LOCKER, ADAM (AUD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:LOCKER
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19531 WEATHERVANE WAY
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-2150
Mailing Address - Country:US
Mailing Address - Phone:561-926-2616
Mailing Address - Fax:561-792-6779
Practice Address - Street 1:911 SE 6TH AVE STE 105
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-5190
Practice Address - Country:US
Practice Address - Phone:561-393-6161
Practice Address - Fax:561-393-5331
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY981231H00000X
FLAY2440231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist