Doctor Name: | DIANE B LOTHROP |
NPI Number: | 1003833708 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., L.L.P. |
License Number: | 6301003050 |
Business Practice Address: | 38807 Ann Arbor Rd Ste 9 Livonia, MI - 481503896 |
Business Phone Number: | 3132684301 |
Business Fax Number: | 7349436051 |
Mailing Address: | 38807 Ann Arbor Rd Ste 9, LIVONIA |
State: | MI |
Postal Code: | 481503896 |
Phone Number: | 3132684301 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 06/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6301003050 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |