Doctor Name: | MS. LORI ANN LITTLE |
NPI Number: | 1003033796 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.L.P |
License Number: | 6301011714 |
Business Practice Address: | 38345 W. Ten Mile Rd. Suite 150 Farmington Hills, MI - 48335 |
Business Phone Number: | 2487222653 |
Business Fax Number: | |
Mailing Address: | 30375 Northwestern Hwy., Suite #200 FARMINGTON HILLS |
State: | MI |
Postal Code: | 483343297 |
Phone Number: | 2482543332 |
Fax Number: | 2482543333 |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 05/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | 6301011714 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |