Provider Demographics
NPI:1659598431
Name:THOMAS, LORI C (PHD)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:C
Last Name:THOMAS
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 1:64 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:SHARON HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19079-1911
Mailing Address - Country:US
Mailing Address - Phone:267-258-7798
Mailing Address - Fax:610-583-2288
Practice Address - Street 1:237 W LANCASTER AVE
Practice Address - Street 2:SUITE 231
Practice Address - City:DEVON
Practice Address - State:PA
Practice Address - Zip Code:19333-1592
Practice Address - Country:US
Practice Address - Phone:610-688-1424
Practice Address - Fax:610-688-1426
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016175103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical