Provider Demographics
NPI:1568739035
Name:LORING PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:LORING PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LORING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:775-843-2846
Mailing Address - Street 1:10399 DOUBLE R BLVD
Mailing Address - Street 2:STE 105
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-5991
Mailing Address - Country:US
Mailing Address - Phone:775-843-2846
Mailing Address - Fax:
Practice Address - Street 1:10399 DOUBLE R BLVD
Practice Address - Street 2:STE 105
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-5991
Practice Address - Country:US
Practice Address - Phone:775-843-2846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0479103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1851311484OtherINDIVIDUAL NPI