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Individual

THOMAS DANIEL LORCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
EDD HSPP

Contact information

Practice address
6950 HILLSDALE COURT, INDIANAPOLIS, IN 46250-2040
(317) 621-7740
Mailing address
6626 E 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7561
(317) 355-6096

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
20040552A
IN
103TH0100X
Health Service Psychologist
Primary
20040552A
IN
103TP2701X
Group Psychotherapy Psychologist
20040552A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100341290
IN
Enumeration date
02/22/2006
Last updated
11/27/2023
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