Provider Demographics
NPI:1114352366
Name:LORI BELLINO PHD PLLC
Entity Type:Organization
Organization Name:LORI BELLINO PHD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLINO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:603-321-7619
Mailing Address - Street 1:172 ROUTE 101
Mailing Address - Street 2:SUITE 26
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-5416
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:172 ROUTE 101
Practice Address - Street 2:SUITE 26
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-5416
Practice Address - Country:US
Practice Address - Phone:603-471-3443
Practice Address - Fax:603-471-3447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-06
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1016103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty