Dr Lori Lea Holth, | |
5820 Morris Ave, Gadsden, AL 35903-4831 | |
(256) 390-6381 | |
Not Available |
Full Name | Dr Lori Lea Holth |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 5820 Morris Ave, Gadsden, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245791789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 2124 (Alabama) | Primary |
Entity Name | Refresh Canopy Cove, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730661752 PECOS PAC ID: 3779822119 Enrollment ID: O20190814000652 |
Mailing Address | Practice Location Address |
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Dr Lori Lea Holth, 5820 Morris Ave, Gadsden, AL 35903-4831 Ph: (256) 390-6381 | Dr Lori Lea Holth, 5820 Morris Ave, Gadsden, AL 35903-4831 Ph: (256) 390-6381 |
Sharika Natasha Pruitt, LPC Psychologist Medicare: Medicare Enrolled Practice Location: 307 S 5th St Ste A, Gadsden, AL 35901 Phone: 256-393-0705 Fax: 205-238-6663 | |
June A Nichols, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 715 Walnut St, Gadsden, AL 35901 Phone: 256-543-1544 Fax: 256-543-1508 | |
Selena Kidd, BA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 901 Goodyear Ave, Gadsden, AL 35903 Phone: 256-492-7800 | |
Dehryl Mason, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3001 Scenic Hwy, Gadsden, AL 35904 Phone: 256-546-9265 Fax: 256-549-0376 |