Provider Demographics
NPI:1043543994
Name:FIRMAN, LORA N (PSY D)
Entity Type:Individual
Prefix:MS
First Name:LORA
Middle Name:N
Last Name:FIRMAN
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 RHOADS CENTER DR
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45458-3859
Mailing Address - Country:US
Mailing Address - Phone:937-291-3342
Mailing Address - Fax:
Practice Address - Street 1:90 RHOADS CENTER DR
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45458-3859
Practice Address - Country:US
Practice Address - Phone:937-291-3342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health