DR. Lori Tannenbaum, PH.D.

NPI #1447610225 in Summit, New Jersey

Provider Information

NPI Number: 1447610225
Entity Type: Individual
Name: DR. Lori Tannenbaum, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: Mar 7, 2016
Last Updated: Mar 7, 2016

Practice Location

Address: 147 BROAD ST
City: Summit
State: New Jersey
ZIP Code: 07901-5915
Phone: (908) 273-1324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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