| Doctor Name: | DR. LORI ANN WHITE |
| NPI Number: | 1053492470 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 5906 |
| Business Practice Address: | 4132 Erie St Ste 208 Willoughby, OH - 440947855 |
| Business Phone Number: | 4409467796 |
| Business Fax Number: | 4409467796 |
| Mailing Address: | 4132 Erie St Ste 208, WILLOUGHBY |
| State: | OH |
| Postal Code: | 440947855 |
| Phone Number: | 4409467796 |
| Fax Number: | 4409467796 |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 5906 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |