Individual
MS. LORI F PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1598
(608) 324-2000
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-1454
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2784
WI
103TC0700X
Clinical Psychologist
Primary
2784
WI
Other
Enumeration date
09/20/2006
Last updated
11/07/2022
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