Provider Demographics
NPI:1215069711
Name:SHOR, LORA (MSW,LSW)
Entity type:Individual
Prefix:MS
First Name:LORA
Middle Name:
Last Name:SHOR
Suffix:
Gender:F
Credentials:MSW,LSW
Other - Prefix:MS
Other - First Name:LORA
Other - Middle Name:SHOR
Other - Last Name:FRIEDMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW,LSW
Mailing Address - Street 1:234 S BRYN MAWR AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-2133
Mailing Address - Country:US
Mailing Address - Phone:610-519-1889
Mailing Address - Fax:
Practice Address - Street 1:234 S BRYN MAWR AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-2133
Practice Address - Country:US
Practice Address - Phone:610-519-1889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW006698L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker