Doctor Name: | DR. BETHANY LOHR |
NPI Number: | 1477851509 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 2157 |
Business Practice Address: | 455 E Beach Blvd 1513 Gulf Shores, AL - 365426624 |
Business Phone Number: | 9312738162 |
Business Fax Number: | |
Mailing Address: | 455 E Beach Blvd, 1513 GULF SHORES |
State: | AL |
Postal Code: | 365426624 |
Phone Number: | 9312738162 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2011 |
NPI Last Update Date: | 03/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 2157 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |