MEDICARE: DR. LORI ZAREMSKI, PHD

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	103TC1900X	Counseling Psychologist	PSY 15101	CA
2	103T00000X	Psychologist	PSY 15101	CA

General Provider Information

NPI Number	:	1831558899
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. LORI ZAREMSKI, PHD

Provider Business Mailing Address
First Line	:	509 N SEPULVEDA BLVD
Second Line	:	#204
City	:	MANHATTAN BEACH
State	:	CA
Zip	:	90266-6746
Country	:	US
Telephone Number	:	310-374-1221
Fax Number	:

Provider Business Practice Location Address
First Line	:	509 N SEPULVEDA BLVD
Second Line	:	#204
City	:	MANHATTAN BEACH
State	:	CA
Zip	:	90266-6746
Country	:	US
Telephone Number	:	310-374-1221
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PSYCHOLOGIST
Name	:	DR. LORI ZAREMSKI
Credential	:	PHD
Telephone Number	:	310-374-1221

Provider Enumeration Date	:	02/18/2016
Last Update Date	:	02/18/2016

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