Provider Demographics
NPI:1316101611
Name:SHIRD, LORNA (PHD)
Entity type:Individual
Prefix:DR
First Name:LORNA
Middle Name:
Last Name:SHIRD
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 1:722 CAMPBELL ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39203-1327
Mailing Address - Country:US
Mailing Address - Phone:601-918-3303
Mailing Address - Fax:
Practice Address - Street 1:1400 J R LYNCH ST
Practice Address - Street 2:DEPARTMENT OF PSYCHOLOGY
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39217-0002
Practice Address - Country:US
Practice Address - Phone:601-979-5990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist