Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | OH1272356 | OH |
NPI | 1043623374 |
---|---|
Provider Name | Mrs. Nichole Lofton |
First Address | Olmsted Falls, OH 44138-2806 |
Second Address | Cleveland, OH 44102-2215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2014 |
Last Update Date | 04/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
235Z00000X | (05) | OH |