Provider Demographics
NPI:1932294840
Name:WEBB, LORI K (MSE, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:K
Last Name:WEBB
Suffix:
Gender:F
Credentials:MSE, LMHC
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:K
Other - Last Name:HILER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSE, LMHC
Mailing Address - Street 1:31 THURBER DR
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:NY
Mailing Address - Zip Code:13165-1600
Mailing Address - Country:US
Mailing Address - Phone:315-539-1980
Mailing Address - Fax:315-539-1054
Practice Address - Street 1:31 THURBER DR
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:NY
Practice Address - Zip Code:13165-1600
Practice Address - Country:US
Practice Address - Phone:315-539-1980
Practice Address - Fax:315-539-1054
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000155101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health