Provider Demographics
NPI:1770959942
Name:LOCKWOOD, TONYA WALKER (PSYD)
Entity type:Individual
Prefix:DR
First Name:TONYA
Middle Name:WALKER
Last Name:LOCKWOOD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9917 GOOD LUCK RD
Mailing Address - Street 2:APT 202
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3252
Mailing Address - Country:US
Mailing Address - Phone:301-807-1926
Mailing Address - Fax:
Practice Address - Street 1:9917 GOOD LUCK RD
Practice Address - Street 2:APT 202
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3252
Practice Address - Country:US
Practice Address - Phone:301-807-1926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1000077103T00000X
MD03769103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical