| Lanny Detore | |
|
230 W Pittsburgh St Greensburg PA 15601-2207 | |
| (724) 834-8783 | |
| (724) 834-4439 |
| Full Name | Lanny Detore |
|---|---|
| Speciality | Psychologist |
| Location | 230 W Pittsburgh St, Greensburg, Pennsylvania |
| Authorized Official Name and Position | Anthony Detore (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7248348783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lanny Detore 230 W Pittsburgh St Greensburg PA 15601-2207 Ph: (724) 834-8783 | Lanny Detore 230 W Pittsburgh St Greensburg PA 15601-2207 Ph: (724) 834-8783 |
| NPI Number | 1629614425 |
|---|---|
| Provider Enumeration Date | 11/27/2019 |
| Last Update Date | 11/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629614425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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