Individual
LORI M PETRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4305 TORRANCE BLVD, SUITE 300, TORRANCE, CA 90503-4409
(310) 650-1232
Mailing address
235 RUBY CT, GARDENA, CA 90248-3393
(310) 650-1232
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY12329
CA
Other
Enumeration date
01/21/2007
Last updated
07/08/2007
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