| Lorraine Schooner Ph.d. Llc | |
|
7230 Heritage Village Plz Suite 102 Gainesville VA 20155-3053 | |
| (703) 754-0355 | |
| (703) 754-0311 |
| Full Name | Lorraine Schooner Ph.d. Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7230 Heritage Village Plz, Gainesville, Virginia |
| Authorized Official Name and Position | Lorraine Schooner (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7037540355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorraine Schooner Ph.d. Llc 7230 Heritage Village Plz Suite 102 Gainesville VA 20155-3053 Ph: (703) 754-0355 | Lorraine Schooner Ph.d. Llc 7230 Heritage Village Plz Suite 102 Gainesville VA 20155-3053 Ph: (703) 754-0355 |
| NPI Number | 1316282015 |
|---|---|
| Provider Enumeration Date | 12/06/2012 |
| Last Update Date | 12/06/2012 |
| Medicare PECOS PAC ID | 4880848753 |
|---|---|
| Medicare Enrollment ID | O20130129000678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316282015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 0810003090 (Virginia) | Primary |
| Provider Name | Lorraine C Schooner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972534808 PECOS PAC ID: 9032101027 Enrollment ID: I20070108000523 |
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