| Doctor Name: | DR. LORI J. ANSARI |
| NPI Number: | 1255610325 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 3014-57 |
| Business Practice Address: | 710 N Webb Ave Reedsburg, WI - 539591142 |
| Business Phone Number: | 6085245151 |
| Business Fax Number: | 6085245353 |
| Mailing Address: | 1002 Lincoln Ave, BARABOO |
| State: | WI |
| Postal Code: | 539131808 |
| Phone Number: | 6085245151 |
| Fax Number: | 6085245353 |
| NPI Enumeration Date: | 08/08/2011 |
| NPI Last Update Date: | 09/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 3014-57 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |