Provider Demographics
NPI:1689726606
Name:HERRENKOHL, LORRAINE L (PHD)
Entity Type:Individual
Prefix:DR
First Name:LORRAINE
Middle Name:L
Last Name:HERRENKOHL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 NEWPORT DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19087-5850
Mailing Address - Country:US
Mailing Address - Phone:610-647-4313
Mailing Address - Fax:
Practice Address - Street 1:32 NEWPORT DR
Practice Address - Street 2:
Practice Address - City:CHESTERBROOK
Practice Address - State:PA
Practice Address - Zip Code:19087-5850
Practice Address - Country:US
Practice Address - Phone:610-647-4313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2985103TC0700X
PAPS3295L103TC0700X
NY6314103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical