Provider Demographics
NPI:1730237835
Name:PRICE, MARION LORRAINE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:MARION
Middle Name:LORRAINE
Last Name:PRICE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 AUBURN AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SIERRA MADRE
Mailing Address - State:CA
Mailing Address - Zip Code:91024-1844
Mailing Address - Country:US
Mailing Address - Phone:626-355-2321
Mailing Address - Fax:626-355-3424
Practice Address - Street 1:37 AUBURN AVENUE
Practice Address - Street 2:SUITE 5
Practice Address - City:SIERRA MADRE
Practice Address - State:CA
Practice Address - Zip Code:91024-1844
Practice Address - Country:US
Practice Address - Phone:626-355-2321
Practice Address - Fax:626-355-3424
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25093106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist