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NPI Code Detail

MEDICARE: LOYMARIE ORTIZ ALTIERY

MEDICARE: LOYMARIE ORTIZ ALTIERY
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
1101Y00000XCounselor
2103T00000XPsychologistPS019075PA

General Provider Information

NPI Number : 1942739008
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOYMARIE ORTIZ ALTIERY
Provider Business Mailing Address
First Line : 200 N 7TH ST
Second Line :
City : LEBANON
State : PA
Zip : 17046-5040
Country : US
Telephone Number : 717-272-5464
Fax Number : 717-273-1416
Provider Business Practice Location Address
First Line : 301 W PHILADELPHIA ST
Second Line :
City : YORK
State : PA
Zip : 17401-2941
Country : US
Telephone Number : 717-848-6116
Fax Number : 717-852-7580
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2017
Last Update Date : 09/09/2020

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Directions to “ LOYMARIE ORTIZ ALTIERY ” Practice Location

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