Moran, Lorraine V
Moran, Lorraine V is an individual health care provider with primary practice located at 127 W State St , Ithaca NY 14850-5474. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moran, Lorraine V can be contacted via phone (607) 273-7494.Contact Information
Primary practice address
127 W State St
Ithaca NY 14850-5474
Phone: (607) 273-7494
Fax: (607) 273-7484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R028685 | New York |
Profile Details
| NPI number | 1174579411 |
|---|---|
| LBN Legal business name | Moran, Lorraine V |
| Credentials | LCSW-R |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Feb 11th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174579411 | NPPES |
| New York | MEDICAID | 07300028685LI |
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