Provider Demographics
NPI:1326071473
Name:HEDRICK, LORI F (PHD)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:F
Last Name:HEDRICK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2804 SUNRISE CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23233-1605
Mailing Address - Country:US
Mailing Address - Phone:804-360-3870
Mailing Address - Fax:
Practice Address - Street 1:6722 PATTERSON AVE
Practice Address - Street 2:SUITE A ADDVANTAGE PLLC
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-3400
Practice Address - Country:US
Practice Address - Phone:804-282-9989
Practice Address - Fax:804-282-9930
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810003023103TC0700X
VA0803000196103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool