Provider Demographics
NPI:1063445609
Name:LOHR-THIERRY, NORRETTE T (PHD)
Entity Type:Individual
Prefix:
First Name:NORRETTE
Middle Name:T
Last Name:LOHR-THIERRY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:NORRETTE
Other - Middle Name:
Other - Last Name:LOHR-THIERRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:12771 NEWHOPE ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-5534
Mailing Address - Country:US
Mailing Address - Phone:714-878-4616
Mailing Address - Fax:
Practice Address - Street 1:10061 TALBERT AVE
Practice Address - Street 2:200
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-5159
Practice Address - Country:US
Practice Address - Phone:714-878-4616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY15086103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTD400020590OtherMEDICARE PROVIDER NUMBER