Individual
MRS. LOTHELL PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., ED.S.
Contact information
Practice address
66 SCHOOL ST, LOGAN, WV 25601-9605
(304) 792-2087
(304) 752-7471
Mailing address
66 SCHOOL ST, LOGAN, WV 25601-9605
(304) 792-2087
(304) 752-7471
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
21037
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166298000
—
WV
Enumeration date
11/02/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us