Provider Demographics
NPI:1386348035
Name:LORI A MILEY LICENSED PSYCHOLOGIST PLLC
Entity type:Organization
Organization Name:LORI A MILEY LICENSED PSYCHOLOGIST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:A
Authorized Official - Last Name:MILEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:717-624-1334
Mailing Address - Street 1:3585 CARLISLE PIKE
Mailing Address - Street 2:
Mailing Address - City:NEW OXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:17350-9763
Mailing Address - Country:US
Mailing Address - Phone:717-624-1334
Mailing Address - Fax:717-624-1992
Practice Address - Street 1:3585 CARLISLE PIKE
Practice Address - Street 2:
Practice Address - City:NEW OXFORD
Practice Address - State:PA
Practice Address - Zip Code:17350-9763
Practice Address - Country:US
Practice Address - Phone:717-624-1334
Practice Address - Fax:717-624-1992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health