MEDICARE: DONYAE LORING

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
1	101YM0800X	Mental Health Counselor		PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346845252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONYAE LORING

Provider Business Mailing Address
First Line	:	1108 N MAIN AVE
Second Line	:
City	:	SCRANTON
State	:	PA
Zip	:	18508-2110
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2215 BROWN AVE
Second Line	:
City	:	SCRANTON
State	:	PA
Zip	:	18509-1304
Country	:	US
Telephone Number	:	570-905-0252
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2020
Last Update Date	:	12/01/2020

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Directions to “ DONYAE LORING ” Practice Location

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