Provider Demographics
NPI:1326021551
Name:LOCKE, DONA EVA (PHD)
Entity type:Individual
Prefix:DR
First Name:DONA
Middle Name:EVA
Last Name:LOCKE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:DONA
Other - Middle Name:EVA
Other - Last Name:CRAGAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:13400 E SHEA BLVD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-5404
Mailing Address - Country:US
Mailing Address - Phone:480-301-8000
Mailing Address - Fax:
Practice Address - Street 1:13400 E SHEA BLVD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259-5404
Practice Address - Country:US
Practice Address - Phone:480-301-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3723103TC0700X
MN4541103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ954314Medicaid
AZP00284507OtherRAILROAD MEDICARE
MNENROLLEDMedicaid
AZP00284507OtherRAILROAD MEDICARE
AZ954314Medicaid
MNENROLLEDMedicaid