Provider Demographics
NPI:1629777404
Name:LOCKWOOD, KATHERINE (MED, MA)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:LOCKWOOD
Suffix:
Gender:F
Credentials:MED, MA
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:LOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:395 LAKE SHORE DR
Mailing Address - Street 2:
Mailing Address - City:SANDWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02563-2747
Mailing Address - Country:US
Mailing Address - Phone:781-290-8387
Mailing Address - Fax:
Practice Address - Street 1:395 LAKE SHORE DR
Practice Address - Street 2:
Practice Address - City:SANDWICH
Practice Address - State:MA
Practice Address - Zip Code:02563-2747
Practice Address - Country:US
Practice Address - Phone:781-290-8387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health