National Provider Identifier Database

SHELLIE D LOCKE, PhD – NPI #1336319979
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

SHELLIE D LOCKE, PhD
9020 15TH AVE
KENOSHA, WI53143-6803
Phone: 708-224-7442
Fax:
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Clinical Neuropsychologist 103G00000X

* Indicates primary specialty

NPI Profile & details for SHELLIE D LOCKE

NPI Number 1336319979
Credentials PhD
Entity Individual
Enumeration date 03/11/2008
Last updated 03/11/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 071.007310
  • WI License #: 2660-057
  • WI Medicaid: 40994300
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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