Individual
DR. LORI C. BOHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
15 W 75TH ST, SUITE 1B, NEW YORK, NY 10023-2060
(212) 348-0808
Mailing address
15 W 75TH ST, SUITE 1B, NEW YORK, NY 10023-2060
(212) 348-0808
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
007929-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P1128347
OXFORD PROVIDER #
NY
Enumeration date
07/05/2006
Last updated
09/01/2016
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