Healthcare Provider Details

I. General information

NPI: 1487785671
Provider Name (Legal Business Name): CATHERINE GAIL LOCKWOOD M.A., M.F.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 CALIFORNIA AVE STE 120D
PALO ALTO CA
94306-1641
US

IV. Provider business mailing address

91 PETER COUTTS CIR
STANFORD CA
94305-2513
US

V. Phone/Fax

Practice location:
  • Phone: 310-488-5292
  • Fax:
Mailing address:
  • Phone: 310-488-5292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC38789
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: