| Lori Peiffer, Phd, Lp, Llc | |
|
1800 Wooddale Drive Suite 204 Woodbury MN 55125 | |
| (612) 584-8704 | |
| (844) 252-4852 |
| Full Name | Lori Peiffer, Phd, Lp, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1800 Wooddale Drive, Woodbury, Minnesota |
| Authorized Official Name and Position | Lori C Peiffer (OWNER) |
| Authorized Official Contact | 6125848704 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Peiffer, Phd, Lp, Llc 1800 Wooddale Drive Suite 204 Woodbury MN 55125 Ph: (612) 584-8704 | Lori Peiffer, Phd, Lp, Llc 1800 Wooddale Drive Suite 204 Woodbury MN 55125 Ph: (612) 584-8704 |
| NPI Number | 1073915435 |
|---|---|
| Provider Enumeration Date | 09/17/2014 |
| Last Update Date | 05/03/2023 |
| Certification Date | 05/03/2023 |
| Medicare PECOS PAC ID | 1557685609 |
|---|---|
| Medicare Enrollment ID | O20150120000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073915435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lori C Peiffer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962574376 PECOS PAC ID: 1951577287 Enrollment ID: I20120107000007 |
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