Individual
DR. LORRAINE DISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
10305 NW 41ST ST, 202/205, DORAL, FL 33178-2396
(305) 718-9800
Mailing address
10305 NW 41ST ST, 202/205, DORAL, FL 33178-2396
(305) 718-9800
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY4470
FL
Other
Enumeration date
04/20/2007
Last updated
02/15/2012
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