Provider Demographics
NPI:1952896276
Name:LOHMAN, CHAD IRVIN (PHD)
Entity type:Individual
Prefix:
First Name:CHAD
Middle Name:IRVIN
Last Name:LOHMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 FOXGLOVE CT
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-3037
Mailing Address - Country:US
Mailing Address - Phone:770-468-9795
Mailing Address - Fax:
Practice Address - Street 1:3800 CAMP CREEK PKWY, SW
Practice Address - Street 2:BUILDING 2000
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-6226
Practice Address - Country:US
Practice Address - Phone:678-686-1488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-28
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31121103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical