Individual
JANA LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
12450 VAN NUYS BLVD STE 100, PACOIMA, CA 91331-1392
(323) 823-8917
Mailing address
12450 VAN NUYS BLVD STE 100, PACOIMA, CA 91331-1392
(323) 823-8917
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY19815
CA
103TC0700X
Clinical Psychologist
PSY19815
CA
Other
Enumeration date
01/15/2007
Last updated
07/30/2014
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