MEDICARE: LORI ANN DILLING-MILEY M.A.

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	103T00000X	Psychologist	PS-006306-L	PA

General Provider Information

NPI Number	:	1952600900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI ANN DILLING-MILEY M.A.

Provider Business Mailing Address
First Line	:	3585 CARLISLE PIKE
Second Line	:
City	:	NEW OXFORD
State	:	PA
Zip	:	17350-9763
Country	:	US
Telephone Number	:	717-624-1334
Fax Number	:	717-624-1992

Provider Business Practice Location Address
First Line	:	3585 CARLISLE PIKE
Second Line	:
City	:	NEW OXFORD
State	:	PA
Zip	:	17350-9763
Country	:	US
Telephone Number	:	717-624-1334
Fax Number	:	717-624-1992

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

Provider Enumeration Date	:	03/16/2011
Last Update Date	:	03/16/2011

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