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General NPI Number Information
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NPI Number | 1487785671
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Entity Type | Individual
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Provider Name | CATHERINE GAIL LOCKWOOD M.A., M.F.T.
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 12/14/2009
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Provider Practice Location Address
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Address Line | 179 S BARRINGTON PL STE B
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City | LOS ANGELES
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State | CA
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Zip | 90049-3305
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Country | US
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Telephone | 310-488-5292
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Fax | 310-828-0870
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Provider Business Mailing Address
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Address Line | 1112 MONTANA AVE., # 269
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City | SANTA MONICA
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State | CA
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Zip | 90403-1652
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Country | US
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Telephone | 310-488-5292
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Fax | 310-828-0870
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC38789
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License Number State | CA
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