Doctor Name: | LORENA FLORENCE DEJOLIE |
NPI Number: | 1780875161 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | North Highway 163 Kayenta Unified School District Kayenta, AZ - 860330337 |
Business Phone Number: | 9286972054 |
Business Fax Number: | 9286972095 |
Mailing Address: | Po Box 337, Kayenta Unified School District KAYENTA |
State: | AZ |
Postal Code: | 860330337 |
Phone Number: | 9286972054 |
Fax Number: | 9286972095 |
NPI Enumeration Date: | 08/09/2007 |
NPI Last Update Date: | 08/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |