MEDICARE: DR. LORI A. FUTTERMAN PH.D.

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	103TC0700X	Clinical Psychologist	PSY8636	CA

General Provider Information

NPI Number	:	1154354611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORI A. FUTTERMAN PH.D.

Provider Business Mailing Address
First Line	:	591 CAMINO DE LA REINA STE 705
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3109
Country	:	US
Telephone Number	:	619-297-3311
Fax Number	:	619-294-3322

Provider Business Practice Location Address
First Line	:	591 CAMINO DE LA REINA STE 705
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3109
Country	:	US
Telephone Number	:	619-297-3311
Fax Number	:	619-294-3322

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1427176700 — DR. SUZANNE GOH-HATTANGADI M.D.
Practice Location Address:

7090 MIRATECH DR
SAN DIEGO, CA
92121-3109

Practice Phone: 858-304-6440
Practice Fax:

1063667475 — DR. TANYA MARIE MERCADO LOZANO M.D.
Practice Location Address:

7090 MIRATECH DR
SAN DIEGO, CA
92121-3109

Practice Phone: 858-554-1886
Practice Fax:

1235421207 — PRACTICAL RECOVERY, INC.
Practice Location Address:

2821 LANGE AVE
SAN DIEGO, CA
92122-3109

Practice Phone: 858-246-6310
Practice Fax: 858-246-7577

1518221894 — BETH HAGERTY JOHNSON M.D.
Practice Location Address:

7090 MIRATECH DR
SAN DIEGO, CA
92121-3109

Practice Phone: 858-304-6440
Practice Fax:

1336489566 — SORA LEE M.A. BCBA
Practice Location Address:

7090 MIRATECH DR
SAN DIEGO, CA
92121-3109

Practice Phone: 858-304-6440
Practice Fax:

1710318563 — NANCY SHAH PSY. D
Practice Location Address:

2821 LANGE AVE
SAN DIEGO, CA
92122-3109

Practice Phone: 858-246-6310
Practice Fax: 858-246-7577

Directions to “ DR. LORI A. FUTTERMAN PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.