=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184612350
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LOREN VOCATURO PHD.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/11/2005
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1199 PLEASANT VALLEY WAY
-----------------------------------------------------
City | WEST ORANGE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07052-1424
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-972-1139
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4716 OLD GETTYSBURG RD LEGAL DEPARTMENT
-----------------------------------------------------
City | MECHANICSBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17055-4325
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-972-1139
-----------------------------------------------------
Fax | 717-975-9981
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number | 35SI00391200
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------