Healthcare Provider Details

I. General information

NPI: 1063616969
Provider Name (Legal Business Name): LORIE MECHELLE ZATOR LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 04/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72 E HIGH ST
WAYNESBURG PA
15370-1817
US

IV. Provider business mailing address

72 E HIGH ST
WAYNESBURG PA
15370-1817
US

V. Phone/Fax

Practice location:
  • Phone: 724-627-6410
  • Fax: 724-852-2624
Mailing address:
  • Phone: 724-627-6410
  • Fax: 724-852-2624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberSW010896L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberSW010896L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: