Provider Demographics
NPI:1467247791
Name:OBRIEN, LOREN
Entity type:Individual
Prefix:
First Name:LOREN
Middle Name:
Last Name:OBRIEN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BARCLAY CT
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-3300
Mailing Address - Country:US
Mailing Address - Phone:856-505-7508
Mailing Address - Fax:
Practice Address - Street 1:6 BARCLAY CT
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-3300
Practice Address - Country:US
Practice Address - Phone:856-505-7508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health