Provider Demographics
NPI:1609699859
Name:FRIO-WALKER, LORI ANN (MSED)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:ANN
Last Name:FRIO-WALKER
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 PAOLI PLZ UNIT 203
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-5007
Mailing Address - Country:US
Mailing Address - Phone:484-320-7709
Mailing Address - Fax:
Practice Address - Street 1:43 PAOLI PLZ UNIT 203
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-5007
Practice Address - Country:US
Practice Address - Phone:484-320-7709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAPC000412101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional