MEDICARE: DR. BARBARA J. LORRY 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	103T00000X	Psychologist	PY4233	FL

General Provider Information

NPI Number	:	1588707947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA J. LORRY PH.D.

Provider Business Mailing Address
First Line	:	1714 SOUTH DR
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-5039
Country	:	US
Telephone Number	:	610-716-7427
Fax Number	:	941-957-0006

Provider Business Practice Location Address
First Line	:	1714 SOUTH DR
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-5039
Country	:	US
Telephone Number	:	610-716-7427
Fax Number	:	941-957-0006

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

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	02/09/2015

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