Provider Demographics
NPI:1376869149
Name:NESS, LORRIE (PHD)
Entity Type:Individual
Prefix:
First Name:LORRIE
Middle Name:
Last Name:NESS
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 1:1109 SPRING ST
Mailing Address - Street 2:SUITE # 604
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4002
Mailing Address - Country:US
Mailing Address - Phone:301-587-2818
Mailing Address - Fax:301-774-0575
Practice Address - Street 1:1109 SPRING ST
Practice Address - Street 2:SUITE # 604
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4002
Practice Address - Country:US
Practice Address - Phone:301-587-2818
Practice Address - Fax:301-774-0575
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04772103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical