Provider Demographics
NPI:1699390906
Name:LOCKARD, SUSAN L (NCC/LPC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:L
Last Name:LOCKARD
Suffix:
Gender:F
Credentials:NCC/LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3314 SYLVAN HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:HOLLIDAYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16648-2832
Mailing Address - Country:US
Mailing Address - Phone:814-952-8211
Mailing Address - Fax:
Practice Address - Street 1:1216 PLEASANT VALLEY BLVD STE 208
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-4761
Practice Address - Country:US
Practice Address - Phone:814-952-8211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-11
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional