Individual
DR. LORA R. FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD PLLC
Contact information
Practice address
3035 ISLAND CREST WAY, MERCER ISLAND, WA 98040-2919
(206) 632-6000
Mailing address
3240 W MERCER WAY, MERCER ISLAND, WA 98040-2540
(206) 632-6000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60004824
WA
Other
Enumeration date
09/21/2007
Last updated
02/17/2012
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