Provider Demographics
NPI:1609308535
Name:LORI J. KASMEN, PSYD
Entity Type:Organization
Organization Name:LORI J. KASMEN, PSYD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LORI
Authorized Official - Middle Name:J
Authorized Official - Last Name:KASMEN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:610-659-9903
Mailing Address - Street 1:5 SCARLET OAK DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19444-2420
Mailing Address - Country:US
Mailing Address - Phone:610-659-9903
Mailing Address - Fax:
Practice Address - Street 1:112 BALA AVE
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-3025
Practice Address - Country:US
Practice Address - Phone:610-659-9903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-30
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015233103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty