Provider Demographics
NPI:1366805368
Name:LORINCZ, ADAM COLE (MA)
Entity type:Individual
Prefix:MR
First Name:ADAM
Middle Name:COLE
Last Name:LORINCZ
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11111 HALL RD STE 303
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:MI
Mailing Address - Zip Code:48317-5726
Mailing Address - Country:US
Mailing Address - Phone:586-307-4652
Mailing Address - Fax:
Practice Address - Street 1:28871 ALINE DR
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-2690
Practice Address - Country:US
Practice Address - Phone:586-307-2137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-29
Last Update Date:2017-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301015522103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist