Individual
MICHELLE MARIE LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2810 E DEL MAR BLVD STE 7, PASADENA, CA 91107-4322
(626) 523-4097
Mailing address
2810 E DEL MAR BLVD STE 7, PASADENA, CA 91107-4322
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY18058
CA
Other
Enumeration date
10/23/2021
Last updated
10/23/2021
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