Provider Demographics
NPI:1922109743
Name:GENARO, LORAYNE EDYLYNN (PHD)
Entity Type:Individual
Prefix:DR
First Name:LORAYNE
Middle Name:EDYLYNN
Last Name:GENARO
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 1:5843 PRESTON HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2949
Mailing Address - Country:US
Mailing Address - Phone:469-222-5955
Mailing Address - Fax:214-368-0001
Practice Address - Street 1:5924 ROYAL LANE
Practice Address - Street 2:SUITE 258
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230
Practice Address - Country:US
Practice Address - Phone:469-222-5955
Practice Address - Fax:214-368-0001
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0906101Y00000X
TX1054106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist