Provider Demographics
NPI:1851457519
Name:LOCKWOOD, FRANCES M (PHD)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:M
Last Name:LOCKWOOD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:367B N PARKWAY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-2865
Mailing Address - Country:US
Mailing Address - Phone:731-668-2277
Mailing Address - Fax:731-660-0510
Practice Address - Street 1:367B N PARKWAY
Practice Address - Street 2:SUITE 1
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-2865
Practice Address - Country:US
Practice Address - Phone:731-668-2277
Practice Address - Fax:731-660-0510
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNP328103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
457512000OtherMAGELLAN BEHAVIORAL HEALT
TN3132716OtherBLUE CROSS BLUE SHIELD