Doctor Name: | ROBERT N. ORCUTT |
NPI Number: | 1427241124 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 1523 |
Business Practice Address: | 5563 Glimmerglass Path Brewerton, NY - 130299798 |
Business Phone Number: | 3156767286 |
Business Fax Number: | |
Mailing Address: | 5563 Glimmerglass Path, BREWERTON |
State: | NY |
Postal Code: | 130299798 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/25/2007 |
NPI Last Update Date: | 08/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1523 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |