Provider Demographics
NPI:1710569033
Name:SHORNOCK, LOIS ELIZABETH (LPC MFT)
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:ELIZABETH
Last Name:SHORNOCK
Suffix:
Gender:F
Credentials:LPC MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 FOX RD
Mailing Address - Street 2:
Mailing Address - City:MOHRSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19541-9768
Mailing Address - Country:US
Mailing Address - Phone:267-968-1071
Mailing Address - Fax:
Practice Address - Street 1:232 FOX RD
Practice Address - Street 2:
Practice Address - City:MOHRSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19541-9768
Practice Address - Country:US
Practice Address - Phone:267-968-1071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013243101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional