Provider Demographics
NPI:1376665976
Name:EPLEY, LORRAINE GAYLE (BS, MAE, MS)
Entity Type:Individual
Prefix:MS
First Name:LORRAINE
Middle Name:GAYLE
Last Name:EPLEY
Suffix:
Gender:F
Credentials:BS, MAE, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 JORDAN CT
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46151-1363
Mailing Address - Country:US
Mailing Address - Phone:317-965-6490
Mailing Address - Fax:765-342-4095
Practice Address - Street 1:110 JORDAN CT
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46151-1363
Practice Address - Country:US
Practice Address - Phone:317-965-6490
Practice Address - Fax:765-342-4095
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist