Provider Demographics
NPI:1952600900
Name:DILLING-MILEY, LORI ANN (MA)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:ANN
Last Name:DILLING-MILEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3585 CARLISLE PIKE
Mailing Address - Street 2:
Mailing Address - City:NEW OXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:17350-9763
Mailing Address - Country:US
Mailing Address - Phone:717-624-1334
Mailing Address - Fax:717-624-1992
Practice Address - Street 1:3585 CARLISLE PIKE
Practice Address - Street 2:
Practice Address - City:NEW OXFORD
Practice Address - State:PA
Practice Address - Zip Code:17350-9763
Practice Address - Country:US
Practice Address - Phone:717-624-1334
Practice Address - Fax:717-624-1992
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-16
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-006306-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist