Individual
DR. LORI LEE BOURGARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
320 COLONY POINT RD S, ST PETERSBURG, FL 33705-6227
(727) 710-2679
Mailing address
320 COLONY POINT RD S, ST PETERSBURG, FL 33705-6227
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY6277
FL
Other
Enumeration date
05/30/2006
Last updated
07/08/2007
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