Provider Demographics
NPI:1902378458
Name:THOMAS, LORRAINE ABARO (PSYD, DRPH)
Entity type:Individual
Prefix:DR
First Name:LORRAINE
Middle Name:ABARO
Last Name:THOMAS
Suffix:
Gender:F
Credentials:PSYD, DRPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1508 BARTON RD # 186
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-1410
Mailing Address - Country:US
Mailing Address - Phone:909-255-2860
Mailing Address - Fax:909-796-0027
Practice Address - Street 1:1221 CALLE DE BARRANCA
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-6510
Practice Address - Country:US
Practice Address - Phone:909-255-2860
Practice Address - Fax:909-796-0027
Is Sole Proprietor?:No
Enumeration Date:2018-12-21
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY30267103TH0004X, 2083B0002X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1083233977OtherGROUP NPI # FOR THOMAS PSYCHOLOGY GROUP PC