Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | DC |
NPI | 1033773320 |
---|---|
Provider Name | Dr. Troy Loker |
First Address | Washington, DC 20002-4032 |
Second Address | Washington, DC 20001-1365 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2019 |
Last Update Date | 23/04/2019 |