Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 6352000523 | MI |
Y | 103T00000X | Psychologist | 6352000523 | MI |
NPI | 1003488792 |
---|---|
Provider Name | Dr. Lori Woehler |
First Address | Olympia, WA 98513-6115 |
Second Address | Olympia, WA 98513-6115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2021 |
Last Update Date | 13/07/2021 |