Provider Demographics
NPI:1740759927
Name:TORP, DORRIE
Entity Type:Individual
Prefix:
First Name:DORRIE
Middle Name:
Last Name:TORP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 BINNACLE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07480-4815
Mailing Address - Country:US
Mailing Address - Phone:973-202-8854
Mailing Address - Fax:973-728-5810
Practice Address - Street 1:24 BINNACLE AVE
Practice Address - Street 2:
Practice Address - City:WEST MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07480-4815
Practice Address - Country:US
Practice Address - Phone:973-202-8854
Practice Address - Fax:973-728-5810
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-17
Last Update Date:2018-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00648400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional