Provider Demographics
NPI:1497979603
Name:ROLAND, LORI ANN (LPC)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:ANN
Last Name:ROLAND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 BARNEGAT BLVD
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT BORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-4932
Mailing Address - Country:US
Mailing Address - Phone:732-262-2500
Mailing Address - Fax:732-938-3085
Practice Address - Street 1:1613 ROUTE 88 STE 6
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3000
Practice Address - Country:US
Practice Address - Phone:732-938-3080
Practice Address - Fax:732-938-3085
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00316000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional