| Doctor Name: | MS. MADELEINE LORELEI |
| NPI Number: | 1063586402 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD, LMFT |
| License Number: | PSY24885 |
| Business Practice Address: | 161 N Mill St Tehachapi, CA - 935611347 |
| Business Phone Number: | 6616099649 |
| Business Fax Number: | |
| Mailing Address: | 785 Tucker Rd, Suite G-pmb # 586 TEHACHAPI |
| State: | CA |
| Postal Code: | 935612523 |
| Phone Number: | 6616099649 |
| Fax Number: | |
| NPI Enumeration Date: | 11/18/2006 |
| NPI Last Update Date: | 08/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0400X |
| License Number: | PSY24885 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |