Provider Demographics
NPI:1346515061
Name:VALENTE, LORRAINE A (MS, ACH, RMT)
Entity Type:Individual
Prefix:
First Name:LORRAINE
Middle Name:A
Last Name:VALENTE
Suffix:
Gender:F
Credentials:MS, ACH, RMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 SUTTON DR
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8720
Mailing Address - Country:US
Mailing Address - Phone:732-598-2720
Mailing Address - Fax:
Practice Address - Street 1:52 SUTTON DR
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8720
Practice Address - Country:US
Practice Address - Phone:732-598-2720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ174H00000XOtherNPI CODE LOCATER LIST
NJ103TH0004XOtherNPI CODE LOCATER LIST