Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | IL | |
Y | 103TC0700X | Clinical Psychologist | IL | |
N | 103G00000X | Clinical Psychologist | 20041511A | IN |
N | 103TC0700X | Clinical Psychologist | 20041511A | IN |
NPI | 1013017045 |
---|---|
Provider Name | Dr. Joy A Lockner |
First Address | Schaumburg, IL 60173 |
Second Address | Schaumburg, IL 60173 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04927273 | BCBS (01) | IL |