Provider Demographics
NPI:1710193719
Name:LOREN M DOBBS PSYCHOLOGICAL SERVICES P C
Entity Type:Organization
Organization Name:LOREN M DOBBS PSYCHOLOGICAL SERVICES P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LOREN
Authorized Official - Middle Name:MARC
Authorized Official - Last Name:DOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:212-582-4600
Mailing Address - Street 1:25 CENTRAL PARK W
Mailing Address - Street 2:SUITE 1-I
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7253
Mailing Address - Country:US
Mailing Address - Phone:212-582-4600
Mailing Address - Fax:212-208-4540
Practice Address - Street 1:25 CENTRAL PARK W
Practice Address - Street 2:SUITE 1-I
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7253
Practice Address - Country:US
Practice Address - Phone:212-582-4600
Practice Address - Fax:212-208-4540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013674103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty