Locke, Kenneth

Locke, Kenneth is an sole proprietor health care provider with primary practice located at 121 W Sweet Ave University Of Idaho - Child & Youth Study Center, Moscow ID 83844-4061. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Locke, Kenneth can be contacted via phone (208) 885-6191.

Contact Information

Primary practice address
121 W Sweet Ave University Of Idaho - Child & Youth Study Center Moscow ID 83844-4061
Phone: (208) 885-6191
Fax: (208) 885-6188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-202758 Idaho

Profile Details

NPI number 1659793867
LBN Legal business name Locke, Kenneth
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2014
Last updated Jan 8th, 2014 - about 11 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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