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NPI Code Detail

MEDICARE: EMILY LORIN MA, LPC, RYT

MEDICARE: EMILY LORIN MA, LPC, RYT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0004258CT

General Provider Information

NPI Number : 1114394418
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY LORIN MA, LPC, RYT
Provider Business Mailing Address
First Line : 185 ALDEN AVE FL 2
Second Line :
City : NEW HAVEN
State : CT
Zip : 06515-2109
Country : US
Telephone Number : 678-235-4194
Fax Number :
Provider Business Practice Location Address
First Line : 2446 WHITNEY AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06518-3233
Country : US
Telephone Number : 203-298-9005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2015
Last Update Date : 02/06/2020

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