Provider Demographics
NPI:1013332543
Name:LOCKAMY, RAY CHARLES JR
Entity Type:Individual
Prefix:
First Name:RAY
Middle Name:CHARLES
Last Name:LOCKAMY
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30710 HAMPDEN AVE APT B
Mailing Address - Street 2:
Mailing Address - City:PRINCESS ANNE
Mailing Address - State:MD
Mailing Address - Zip Code:21853-1042
Mailing Address - Country:US
Mailing Address - Phone:443-944-2608
Mailing Address - Fax:
Practice Address - Street 1:10514 RACETRACK RD STE G
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811
Practice Address - Country:US
Practice Address - Phone:302-604-2424
Practice Address - Fax:410-973-2305
Is Sole Proprietor?:No
Enumeration Date:2014-02-20
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician