Individual
DR. LORI JEAN BURRUEL-HOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1250 E BASELINE RD, SUITE 103, TEMPE, AZ 85283-1436
(480) 775-3774
(480) 831-0256
Mailing address
1250 E BASELINE RD, SUITE 103, TEMPE, AZ 85283-1436
(480) 775-3774
(480) 831-0256
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3792
AZ
Other
Enumeration date
04/13/2007
Last updated
06/15/2011
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