Individual
JENNIFER LYNN LOTERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
493 MAIN ST, SUITE D, DIAMOND SPRINGS, CA 95619
(530) 622-6991
(530) 622-6991
Mailing address
493 MAIN ST, SUITE D, DIAMOND SPRINGS, CA 95619
(530) 622-6991
(530) 622-6991
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY11619
CA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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