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NPI Code Detail

MEDICARE: COLLEEN LORBER PHD

MEDICARE:   COLLEEN  LORBER  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
1103T00000XPsychologist6541OH

General Provider Information

NPI Number : 1952649626
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN LORBER PHD
Provider Business Mailing Address
First Line : 1956 W 25TH ST STE 200
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-3450
Country : US
Telephone Number : 216-606-9328
Fax Number :
Provider Business Practice Location Address
First Line : 1956 W 25TH ST STE 200
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-3450
Country : US
Telephone Number : 216-606-9328
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2013
Last Update Date : 11/21/2024

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Directions to “ COLLEEN LORBER PHD” Practice Location

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