Doctor Name: | DR. KARI LANNON |
NPI Number: | 1013310713 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 081005091 |
Business Practice Address: | 420 N Center Dr #200 Norfolk, VA - 235024007 |
Business Phone Number: | 7579613255 |
Business Fax Number: | 7579613265 |
Mailing Address: | 420 N Center Dr, #200 NORFOLK |
State: | VA |
Postal Code: | 235024007 |
Phone Number: | 7579613255 |
Fax Number: | 7579613265 |
NPI Enumeration Date: | 10/08/2014 |
NPI Last Update Date: | 10/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 081005091 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |