Provider Demographics
NPI:1487946158
Name:BENUTO, LORRAINE (PHD)
Entity type:Individual
Prefix:DR
First Name:LORRAINE
Middle Name:
Last Name:BENUTO
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:UNIVERSITY OF NEVADA RENO
Mailing Address - Street 2:DEPT. OF PSYCHOLOGY MS 0296
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89557-0001
Mailing Address - Country:US
Mailing Address - Phone:775-682-8684
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF NEVADA RENO
Practice Address - Street 2:DEPT. OF PSYCHOLOGY MS 0296
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89557-0001
Practice Address - Country:US
Practice Address - Phone:775-682-8684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0617103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist