Provider Demographics
NPI:1760605547
Name:LOHMAN, LARRY RAY (MA, LPC)
Entity Type:Individual
Prefix:MR
First Name:LARRY
Middle Name:RAY
Last Name:LOHMAN
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 MUNICIPAL DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3559
Mailing Address - Country:US
Mailing Address - Phone:972-437-3677
Mailing Address - Fax:972-437-3679
Practice Address - Street 1:375 MUNICIPAL DR
Practice Address - Street 2:SUITE 130
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3559
Practice Address - Country:US
Practice Address - Phone:972-437-3677
Practice Address - Fax:972-437-3679
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8756101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health