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Active NPI 1750469185 Individual Practitioner Female Practitioner

Lothell Pack , MA, EDS

Psychologist - School • Logan, WV

Professional Overview & Biography Verified Profile Summary

Lothell Pack, MA, EDS is a registered healthcare professional specializing in Psychologist - School in Logan, WV. Practice services are available at 66 SCHOOL ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

66 School St

Logan, WV 256019605

Telephone 3047922087
Fax 3047527471
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - School in Logan, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Logan, WV (224 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - School Primary Specialty

NUCC Taxonomy Code: 103TS0200X

State License WV 21037

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0166298000 (WV)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1104003599

MAEDS

Lisa Long , MA CCC-S

Speech-Language Pathologist

NPI 1205013695

MACCCS

Donald Pinckney , OT, L

Occupational Therapist

NPI 1326225772

Occupational Therapist, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 66 SCHOOL ST, LOGAN, WV 256019605 (Tel: 3047922087)

📍
Updated Business Mailing Address July 08, 2007

Registered at 66 SCHOOL ST, LOGAN, WV 256019605 (Tel: 3047922087)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LOTHELL PACK, M.A., ED.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #21037 in WV)

🟢
Initial NPI Registration & Enumeration November 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1750469185
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

66 School St

Logan, WV 256019605

Phone: 3047922087

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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