Loquasto, Laryssa Sue

Loquasto, Laryssa Sue is an individual health care provider with primary practice located at 727 Ann St , Stroudsburg PA 18360-2016. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Loquasto, Laryssa Sue can be contacted via phone (484) 369-4633.

Contact Information

Primary practice address
727 Ann St Stroudsburg PA 18360-2016
Phone: (484) 369-4633
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1396330494
LBN Legal business name Loquasto, Laryssa Sue
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2021
Last updated Mar 2nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396330494 NPPES
Pennsylvania MEDICAID 101YM0800X
Pennsylvania Other 101YM0800X

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