Provider Demographics
NPI:1215161674
Name:MARTIN, LORIANNE (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:LORIANNE
Middle Name:
Last Name:MARTIN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1495 TEXTER MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:REINHOLDS
Mailing Address - State:PA
Mailing Address - Zip Code:17569-9203
Mailing Address - Country:US
Mailing Address - Phone:717-271-6536
Mailing Address - Fax:
Practice Address - Street 1:1495 TEXTER MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:REINHOLDS
Practice Address - State:PA
Practice Address - Zip Code:17569-9203
Practice Address - Country:US
Practice Address - Phone:717-682-2138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-13
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst