Provider Demographics
NPI:1760829022
Name:SKOROHOD, LORI LYN (LADCII, CMIP, RYT)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:LYN
Last Name:SKOROHOD
Suffix:
Gender:F
Credentials:LADCII, CMIP, RYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:WHITMAN
Mailing Address - State:MA
Mailing Address - Zip Code:02382-2003
Mailing Address - Country:US
Mailing Address - Phone:781-540-1084
Mailing Address - Fax:
Practice Address - Street 1:215 CHIEF JUSTICE CUSHING HWY
Practice Address - Street 2:
Practice Address - City:COHASSET
Practice Address - State:MA
Practice Address - Zip Code:02025-1206
Practice Address - Country:US
Practice Address - Phone:781-205-0788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-28
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
MA15400101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)