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Provider Information for 1215161674


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Mrs. LORIANNE MARTIN M.A., LPC


Sex: Female

NPI: 1215161674
Last Updated: 2020-02-11
Certification Date: 2020-02-11

Details

NameValue
NPI1215161674
Enumeration Date2009-05-13
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1495 TEXTER MOUNTAIN RD
REINHOLDS, PA 17569-9203
United States

Phone: 717-271-6536 | Fax:
 
Primary Practice Address 1495 TEXTER MOUNTAIN RD
REINHOLDS, PA 17569-9203
United States

Phone: 717-682-2138 | Fax:
 
Secondary Practice Address(es)

1733 PENN AVENUE
READING, PA 19609-2054
United States

Phone: 610-670-9923 | Fax:610-670-2587
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 103K00000X - Behavior Analyst