Provider Demographics
NPI:1699657593
Name:LORIA, KATALYNA MARIA
Entity type:Individual
Prefix:
First Name:KATALYNA
Middle Name:MARIA
Last Name:LORIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 BEACHGRASS LN
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486-2360
Mailing Address - Country:US
Mailing Address - Phone:843-934-8943
Mailing Address - Fax:
Practice Address - Street 1:4900 OHEAR AVE STE 100
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-5091
Practice Address - Country:US
Practice Address - Phone:843-934-7575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst