| Organization Name: | LORI J. MAGNUSSON, PH.D.,APC |
| NPI Number: | 1013938190 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORI MAGNUSSON (PRESIDENT) |
| Mailing Address: | 550 W Vista Way Ste 105 Vista |
| State: | CA US |
| Postal Code: | 920835735 |
| Phone Number: | 7606346643 |
| Fax Number: | 7606346643 |
| NPI Enumeration Date: | 07/22/2006 |
| NPI Last Update Date: | 09/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY8568 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |