Provider Demographics
NPI:1740140904
Name:BRADBURY-ROBINSON, LORI ANN (PSYD)
Entity type:Individual
Prefix:DR
First Name:LORI
Middle Name:ANN
Last Name:BRADBURY-ROBINSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 WASHINGTON AVE STE 260
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:KY
Mailing Address - Zip Code:41071-1986
Mailing Address - Country:US
Mailing Address - Phone:502-764-3317
Mailing Address - Fax:859-292-6669
Practice Address - Street 1:601 WASHINGTON AVE STE 260
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:KY
Practice Address - Zip Code:41071-1986
Practice Address - Country:US
Practice Address - Phone:502-764-3317
Practice Address - Fax:859-292-6669
Is Sole Proprietor?:No
Enumeration Date:2025-11-12
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY130701103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical