Provider Demographics
NPI:1194487991
Name:GUIDRY, LORI SHYNELL (PHD)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:SHYNELL
Last Name:GUIDRY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MRS
Other - First Name:LORI
Other - Middle Name:SHYNELL
Other - Last Name:GUIDRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SONNIER
Mailing Address - Street 1:2000 CRAWFORD ST STE 1370
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-9008
Mailing Address - Country:US
Mailing Address - Phone:713-344-0703
Mailing Address - Fax:
Practice Address - Street 1:2000 CRAWFORD ST STE 1370
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-9008
Practice Address - Country:US
Practice Address - Phone:713-344-0703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-08
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator