MEDICARE: LORI DAY, PHD, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	PSY1000768	DC

General Provider Information

NPI Number	:	1043762651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LORI DAY, PHD, LLC

Provider Business Mailing Address
First Line	:	3000 CONNECTICUT AVE NW STE 238
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20008-2531
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 CONNECTICUT AVE NW STE 238
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20008-2531
Country	:	US
Telephone Number	:	202-808-3989
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	DR. LORI A DAY
Credential	:	PHD
Telephone Number	:	724-255-7708

Provider Enumeration Date	:	10/30/2016
Last Update Date	:	10/30/2016

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