Magnusson, Lori J

Magnusson, Lori J is an sole proprietor health care provider with primary practice located at 550 W Vista Way Suite 105, Vista CA 92083-5732. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Magnusson, Lori J can be contacted via phone (760) 634-6643.

Contact Information

Primary practice address
550 W Vista Way Suite 105 Vista CA 92083-5732
Fax: (760) 634-6643
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY8568 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY8568 California

Profile Details

NPI number 1467563767
LBN Legal business name Magnusson, Lori J
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Sep 16th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467563767 NPPES
California MEDICAID PSY085680

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