| Doctor Name: | MRS. LORRAINE BASS BOBER |
| NPI Number: | 1417079716 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | 37RC00000200 |
| Business Practice Address: | 15 Charles St Suite 6h New York, NY - 100143011 |
| Business Phone Number: | 2129242530 |
| Business Fax Number: | |
| Mailing Address: | 31 Mountain Ave, WEST ORANGE |
| State: | NJ |
| Postal Code: | 070524951 |
| Phone Number: | 9732431180 |
| Fax Number: | 9736698503 |
| NPI Enumeration Date: | 04/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 37RC00000200 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |