-- KENNETH LOCKE -- Ph.D.
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1659793867- Provider Type
- Individual Provider (NPI-1)
- Credentials
- Ph.D.
- Status
- Active
Contact & Location
- Address
- 121 W SWEET AVE UNIVERSITY OF IDAHO - CHILD & YOUTH STUDY CENTER, MOSCOW, ID, 838444061
- Phone
- (208) 885-6191
- Fax
- (208) 885-6188
Specialties & Taxonomies
Psychologist, Clinical
Primary License: ID #PSY-202758
All Addresses
MAILING
121 W SWEET AVE UNIVERSITY OF IDAHO - CHILD & YOUTH STUDY CENTER
MOSCOW, ID, 838444061
LOCATION
121 W SWEET AVE UNIVERSITY OF IDAHO - CHILD & YOUTH STUDY CENTER
MOSCOW, ID, 838444061