Provider Demographics
NPI:1275703134
Name:LOREI, STEVEN MAX (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MAX
Last Name:LOREI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 STAGE RD
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03290-5207
Mailing Address - Country:US
Mailing Address - Phone:603-734-2082
Mailing Address - Fax:
Practice Address - Street 1:18 STRING BRG
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-1835
Practice Address - Country:US
Practice Address - Phone:603-734-2082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH423101YM0800X
NH74426103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30422040Medicaid