Individual
DR. LORRAINE A. WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
555 E PIKES PEAK AVE STE 108, COLORADO SPRINGS, CO 80903-3612
(719) 338-6679
Mailing address
PO BOX 38298, COLORADO SPRINGS, CO 80937-8298
(719) 338-6679
(719) 226-8057
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1493
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07014939
—
CO
01
—
301340
MAGELLAN
CO
Enumeration date
10/17/2006
Last updated
07/08/2007
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