Doctor Name: | DIANE LORANGER |
NPI Number: | 1013081645 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PE |
License Number: | PE721 |
Business Practice Address: | 6 Wellspring Rd Suite 4 Biddeford, ME - 040059415 |
Business Phone Number: | 2074232543 |
Business Fax Number: | |
Mailing Address: | Po Box 331, SACO |
State: | ME |
Postal Code: | 040720331 |
Phone Number: | 2074232543 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 03/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PE721 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |