Lori Michelle Tirado, PHD | |
403 S Hawthorne Rd, Winston Salem, NC 27103-3784 | |
(336) 716-0855 | |
Not Available |
Full Name | Lori Michelle Tirado |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 20 Years |
Location | 403 S Hawthorne Rd, Winston Salem, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396159117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 24105 (California) | Secondary |
103T00000X | Psychologist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lifesource Of North Carolina | 7416132428 | 154 |
Entity Name | Lifesource Of North Carolina |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811286156 PECOS PAC ID: 7416132428 Enrollment ID: O20110505000743 |
Mailing Address | Practice Location Address |
---|---|
Lori Michelle Tirado, PHD 100 Kimel Forest Dr, Winston Salem, NC 27103-6074 Ph: (336) 716-9034 | Lori Michelle Tirado, PHD 403 S Hawthorne Rd, Winston Salem, NC 27103-3784 Ph: (336) 716-0855 |
Dr. Jerry W Noble, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2000 W 1st St, Suite 510, Winston Salem, NC 27104 Phone: 336-748-0809 Fax: 336-748-0809 | |
Mrs. Brittany Johnson Todd, MAED, NCC, LPCA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4142 Robinhood Rd, Winston Salem, NC 27106 Phone: 843-833-1998 | |
Dr. Gustavo Rafael Grodnitzky, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 736 Mitch Dr, Winston Salem, NC 27104 Phone: 336-659-8058 | |
Mrs. Crystal Ann Ray, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3325 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-713-4500 Fax: 336-713-4501 | |
Dr. William James Mccann, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2000 W 1st St, #404, Winston Salem, NC 27104 Phone: 336-671-4227 | |
Dr. Timothy Wayne Crawford, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 300 Northgate Park Dr, Winston Salem, NC 27106 Phone: 336-499-3622 Fax: 336-499-3624 | |
Gail Hounshell, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3325 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-774-2400 |