Provider Demographics
NPI:1528428687
Name:LOCKLEY, KATIE (BA)
Entity type:Individual
Prefix:MS
First Name:KATIE
Middle Name:
Last Name:LOCKLEY
Suffix:
Gender:F
Credentials:BA
Other - Prefix:MS
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:LOCKLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BA
Mailing Address - Street 1:3437 N HUMBOLDT ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-3937
Mailing Address - Country:US
Mailing Address - Phone:720-638-2277
Mailing Address - Fax:
Practice Address - Street 1:15001 E OXFORD AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-4186
Practice Address - Country:US
Practice Address - Phone:303-693-1550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-02
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor