Individual
LORI KOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
1777 AXTELL DR, #100, TROY, MI 48084-4404
(248) 613-5377
Mailing address
60005 CAMPGROUND RD STE 400, WASHINGTON TWP, MI 48094-3446
(248) 214-6769
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016820
MI
Other
Enumeration date
10/20/2016
Last updated
08/19/2022
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