Lock, Timothy G.

Lock, Timothy G. is an sole proprietor health care provider with primary practice located at 2 Old New Milford Rd Suite 2A - Landmark Office Center, Brookfield CT 06804-2426. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Lock, Timothy G. can be contacted via phone (203) 775-3820.

Contact Information

Primary practice address
2 Old New Milford Rd Suite 2A - Landmark Office Center Brookfield CT 06804-2426
Phone: (203) 775-3820
Fax: (203) 775-3820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 002385 Connecticut
Behavioral Health & Social Service Providers / Psychologist 103T00000X 014926 New York

Profile Details

NPI number 1720101686
LBN Legal business name Lock, Timothy G.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720101686 NPPES
Connecticut Other 060002385CT01 ANTHEM BLUE CROSS BLUE SH
Connecticut Other P2534362 ANTHEM BLUE CROSS BLUE SH
Connecticut Other 250250 ANTHEM BLUE CROSS BLUE SH
Connecticut Other 2147508 ANTHEM BLUE CROSS BLUE SH

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