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Mrs. Lorraine P Side, MAMSRNCSAPRN
Addiction (Substance Use Disorder) Counselor in Perkiomenville, Pennsylvania
NPI 1811084098

Lorraine P Side is an Addiction (Substance Use Disorder) Counselor based in Perkiomenville, PA and is specialized in Addiction (Substance Use Disorder). Lorraine P Side practices in Perkiomenville, PA and has the professional credentials of MAMSRNCSAPRN. The NPI Number for Lorraine P Side is 1811084098 and holds a License No. RN248822L (Pennsylvania).

The current practice location address for Lorraine P Side is 2151 Deep Creek Rd, Perkiomenville, PA and can be reached out via phone at 215-541-9089 and via fax at 215-679-3144.

Location: 2151 Deep Creek Rd, Perkiomenville, PA, 18074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811084098
Provider Name
Lorraine P Side
Credential
MAMSRNCSAPRN
Provider Entity Type
Individual
Gender
Female
Address
2151 Deep Creek Rd, Perkiomenville, PA, 18074
Phone Number
215-541-9089
Fax Number
215-679-3144
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0005815320 01 AETNA
0492730000 01 KEYSTONE & AMERIHEALTH
institution
Provider Business Practice Location Address Details
Address
2151 Deep Creek Rd
City
Perkiomenville
State
Pennsylvania
Zip
18074
Phone Number
215-541-9089
Fax Number
215-679-3144
person
Provider Business Mailing Address Details
Address
2151 Deep Creek Rd
City
Perkiomenville
State
Pennsylvania
Zip
18074
Phone Number
215-541-9089
Fax Number
215-679-3144
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
-
Taxonomy
364S00000X
License No.
RN248822L (Pennsylvania)
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
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