Shallcross, Lori T

Shallcross, Lori T is an individual health care provider with primary practice located at 655 W Hwy 50 Suite 104, Clermont FL 34711-2913. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shallcross, Lori T can be contacted via phone (352) 394-5922.

Contact Information

Primary practice address
655 W Hwy 50 Suite 104 Clermont FL 34711-2913
Phone: (352) 394-5922
Fax: (352) 360-6582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 6675 Florida

Profile Details

NPI number 1417911785
LBN Legal business name Shallcross, Lori T
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jul 9th, 2007 - about 17 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 1417911785 NPPES
Florida Other Z090N BLUE CROSS BLUE SHIELD #

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