Lore M Dickey, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

4382 Issued in AZ

Practice address

2501 N 4TH St Ste 18D
Flagstaff, AZ 86004-3701

Phone

(318) 265-4287

NPI assigned

Sep 29, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506643200000",
    "number": "1720597040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12204",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860110428",
            "telephone_number": "318-265-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N 4TH ST STE 18D",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043701",
            "telephone_number": "318-265-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "LORE",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-29",
        "last_updated": "2017-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "4382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Destefano, RN
• Heather Lynn Devilliers, LPC
• Joan P. Dewey, LCSW
• Robin Smerling Dewolfe, LPC
• DHHS IHS Phoenix Area
• Kylie Paige Dickman, MD
• Mari Dolores Dieckman, PT
• Christopher Michael Diefenbach, MD
• Kent A Diehl, MD
• Emily Dietz, RBT

• Counseling Psychologist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Counseling Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.