Provider Demographics
NPI:1053770982
Name:WOODRING, LORI ATTANASIO (PHD)
Entity type:Individual
Prefix:DR
First Name:LORI
Middle Name:ATTANASIO
Last Name:WOODRING
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 SYLVAN LN
Mailing Address - Street 2:
Mailing Address - City:OLD GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06870-2318
Mailing Address - Country:US
Mailing Address - Phone:203-564-0993
Mailing Address - Fax:
Practice Address - Street 1:7 SYLVAN LN
Practice Address - Street 2:
Practice Address - City:OLD GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06870-2318
Practice Address - Country:US
Practice Address - Phone:203-564-0993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-20
Last Update Date:2016-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002597103TC2200X, 103TF0000X, 103TP2701X, 103TS0200X
NY014819103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool