Provider Demographics
NPI:1366109993
Name:TORRES, GIUSTINA (MA, LBS)
Entity type:Individual
Prefix:
First Name:GIUSTINA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:MA, LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 AUTUMN LN
Mailing Address - Street 2:
Mailing Address - City:JIM THORPE
Mailing Address - State:PA
Mailing Address - Zip Code:18229-2700
Mailing Address - Country:US
Mailing Address - Phone:570-594-6507
Mailing Address - Fax:
Practice Address - Street 1:27 AUTUMN LN
Practice Address - Street 2:
Practice Address - City:JIM THORPE
Practice Address - State:PA
Practice Address - Zip Code:18229-2700
Practice Address - Country:US
Practice Address - Phone:570-594-6507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-18
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health