MEDICARE: DR. KIRK LOCKWOOD PH.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	23627	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952447898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIRK LOCKWOOD PH.D

Provider Business Mailing Address
First Line	:	6610 LA GRANADA DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-1314
Country	:	US
Telephone Number	:	281-507-0267
Fax Number	:

Provider Business Practice Location Address
First Line	:	6610 LA GRANADA DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-1314
Country	:	US
Telephone Number	:	281-507-0267
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	12/07/2025

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