Provider Demographics
NPI:1649499526
Name:HERZON LONEY, CAROL (MED)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:HERZON LONEY
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 LEHIGH STREET
Mailing Address - Street 2:SUITE 107
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-3855
Mailing Address - Country:US
Mailing Address - Phone:610-253-3453
Mailing Address - Fax:610-253-7062
Practice Address - Street 1:2030 LEHIGH STREET
Practice Address - Street 2:SUITE 107
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-3855
Practice Address - Country:US
Practice Address - Phone:610-253-3453
Practice Address - Fax:610-253-7062
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health