Individual
DR. LORI ANN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4132 ERIE ST STE 208, WILLOUGHBY, OH 44094-7855
(440) 946-7796
(440) 946-7796
Mailing address
447 SOUTH ST, CHARDON, OH 44024-1505
(440) 946-7796
(440) 285-3862
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5906
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2442479
—
OH
Enumeration date
10/19/2006
Last updated
08/29/2024
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