Basic Information
| Provider Information | |||||||||
| NPI: | 1447333182 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DANN | ||||||||
| FirstName: | LORNE | ||||||||
| MiddleName: | HAMILTON | ||||||||
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| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 601 BEACON PKWY W STE 201 | ||||||||
| Address2: | |||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352093123 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2058703520 | ||||||||
| FaxNumber: | 2058703522 | ||||||||
| Practice Location | |||||||||
| Address1: | 601 BEACON PKWY W STE 201 | ||||||||
| Address2: | |||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352093123 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2058703520 | ||||||||
| FaxNumber: | 2058703522 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/24/2006 | ||||||||
| LastUpdateDate: | 04/26/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 645 | AL | N | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103T00000X | 645 | AL | Y | Behavioral Health & Social Service Providers | Psychologist |
No ID Information.