Provider Demographics
NPI:1548575418
Name:LORENZ, JENNIFER PALIARO (EDS)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:PALIARO
Last Name:LORENZ
Suffix:
Gender:F
Credentials:EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 W LEAMY AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-2311
Mailing Address - Country:US
Mailing Address - Phone:610-543-7333
Mailing Address - Fax:
Practice Address - Street 1:42 W LEAMY AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-2311
Practice Address - Country:US
Practice Address - Phone:610-543-7333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool