Individual
LORI J KASMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
112 BALA AVE, BALA CYNWYD, PA 19004-3025
(610) 667-6490
(610) 667-1744
Mailing address
112 BALA AVE, BALA CYNWYD, PA 19004-3025
(610) 667-6490
(610) 667-1744
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS015233
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1451540
BLUE SHIELD
PA
01
—
2134279000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
10/12/2006
Last updated
07/08/2007
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