Individual
LORI LYNN D'ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11101 MAGNOLIA DR, CLEVELAND, OH 44106-1813
12167213030133
Mailing address
11101 MAGNOLIA DR, CLEVELAND, OH 44106-1813
12167213030133
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5185
OH
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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