Individual
RICHARD LOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3333 BURNET AVE ML 10006, CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER, CINCINNATI, OH 45229-3039
(513) 636-8515
(513) 636-0755
Mailing address
7068 SPRUCE HILL CIR, WEST CHESTER, OH 45069-3638
(513) 520-1761
(513) 636-0755
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
839
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9203064000
—
WV
Enumeration date
02/13/2006
Last updated
07/08/2007
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