Provider Demographics
NPI:1598889701
Name:LORANGER, RAYMOND (PHD, LMHC, LADCI)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:
Last Name:LORANGER
Suffix:
Gender:M
Credentials:PHD, LMHC, LADCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:497 BELLEVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02746-2420
Mailing Address - Country:US
Mailing Address - Phone:508-991-7487
Mailing Address - Fax:508-991-7487
Practice Address - Street 1:497 BELLEVILLE AVE
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02746-2420
Practice Address - Country:US
Practice Address - Phone:508-991-7487
Practice Address - Fax:508-991-7487
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3761101YM0800X
MA1566101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)