Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTIE LOUISE LOCKE
Active Sole ProprietorMATTIE LOUISE LOCKE is a Psychiatric/Mental Health, Community CNS healthcare provider located in RUSK, Texas. NPI 1114396397 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Community CNS · RUSK, TX
Registration Details
- NPI Number
- 1114396397
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 17, 2015 (10.950336170774 yrs)
- Last Updated
- Sep 17, 2015
- Licenses
-
218376 (TX)106908 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
379 FM 2972 WRUSK, TX, 757853666Browse TX providers · Browse ZIP 75785
- Phone
- 9036835781
- Primary Specialty
-
Psychiatric/Mental Health, Community CNS
364SP0808X
- Additional Specialty
- Psychiatric/Mental Health, Community CNS
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.