Individual
DR. AMANDA R LORENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9216 KEYSTONE AVE, SKOKIE, IL 60076-1737
(630) 344-9880
Mailing address
9216 KEYSTONE AVE, SKOKIE, IL 60076-1737
(630) 344-9880
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-008155
IL
103TC0700X
Clinical Psychologist
PSY002854
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164273688A
—
GA
Enumeration date
05/23/2006
Last updated
09/29/2021
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