Provider Demographics
NPI:1316015621
Name:GEERY, LORIE J (EDD LMFT)
Entity Type:Individual
Prefix:DR
First Name:LORIE
Middle Name:J
Last Name:GEERY
Suffix:
Gender:F
Credentials:EDD LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16052 BEACH BLVD
Mailing Address - Street 2:#212
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647
Mailing Address - Country:US
Mailing Address - Phone:714-402-7285
Mailing Address - Fax:714-847-1439
Practice Address - Street 1:16052 BEACH BLVD
Practice Address - Street 2:#212
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647
Practice Address - Country:US
Practice Address - Phone:714-402-7285
Practice Address - Fax:714-847-1439
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC27185103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist