Provider Demographics
NPI:1780742395
Name:DELORENZO, PATRICIA ANNE (LPC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANNE
Last Name:DELORENZO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 RAYMONDSKILL RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18337
Mailing Address - Country:US
Mailing Address - Phone:570-686-9832
Mailing Address - Fax:570-686-9832
Practice Address - Street 1:385 RAYMONDSKILL RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:PA
Practice Address - Zip Code:18337
Practice Address - Country:US
Practice Address - Phone:570-686-9832
Practice Address - Fax:570-686-9832
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC41849101Y00000X
NJ37LC00021100101YA0400X
PA4452101YA0400X
NY11143101YA0400X
PAPC001476101YP2500X
NJ37PC00293500101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
223308OtherCOMPSYCH
528720OtherVALUE OPTIONS
7875592OtherAETNA
2175322OtherCIGNA
296138OtherMHN