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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHELLIE DEE LOCKE, PH.D.

Active Sole Proprietor

DR. SHELLIE DEE LOCKE, PH.D. is a Clinical Psychologist healthcare provider located in KENOSHA, Wisconsin. NPI 1336319979 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · KENOSHA, WI

Registration Details

NPI Number
1336319979
Provider Type
Individual
Gender
Female
NPI Issued
Mar 11, 2008 (18.472083396142 yrs)
Last Updated
Mar 11, 2008
Licenses
2660-057 (WI)
071.007310 (IL)
2660-057 (WI)
071.007310 (IL)
Sole Proprietor
Yes

Practice Information

Address
9020 15TH AVE
KENOSHA, WI, 531436803
Browse WI providers · Browse ZIP 53143
Phone
7082247442
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Neuropsychologist
Additional Specialty
Clinical Psychologist
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in KENOSHA, WI

Name Credential NPI
MR. EDWARD J DONNER PH.D. 1710936141
DR. KALPANA RAO PHD 1649291923
BRIAN A WOLF PH.D. 1609982040
LEESA MARIE WIEDHOLZ-ABBOTT PSY.D. 1952482267
DEBRA JOHANSEN PHD 1467537423
DR. PAMELA A KACZMAREK PSYD 1578786042
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.