Individual
DR. LORI LENAY EICKLEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1421 SE 4TH AVE FL 2, FORT LAUDERDALE, FL 33316-1900
(954) 616-5088
Mailing address
1421 SE 4TH AVE FL 1, FORT LAUDERDALE, FL 33316-1900
(954) 616-5088
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7732
FL
Other
Enumeration date
06/11/2008
Last updated
11/06/2023
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