Doctor Name: | MARY E LOTT |
NPI Number: | 1043278575 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | RN341632L |
Business Practice Address: | 500 University Dr Hershey, PA - 170332360 |
Business Phone Number: | 8002431455 |
Business Fax Number: | |
Mailing Address: | Po Box 854, Mc A410 HERSHEY |
State: | PA |
Postal Code: | 170330854 |
Phone Number: | 7175315995 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TE1100X |
License Number: | RN341632L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Exercise & Sports |
Taxonomy Definition: |