Provider Demographics
NPI:1073640884
Name:ORLEAN, GENY (EIS PROFESSIONAL)
Entity Type:Individual
Prefix:MS
First Name:GENY
Middle Name:
Last Name:ORLEAN
Suffix:
Gender:F
Credentials:EIS PROFESSIONAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 N CYPRESS BEND DR
Mailing Address - Street 2:APT 602
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-5617
Mailing Address - Country:US
Mailing Address - Phone:954-979-8183
Mailing Address - Fax:
Practice Address - Street 1:2240 N CYPRESS BEND DR
Practice Address - Street 2:APT 602
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-5617
Practice Address - Country:US
Practice Address - Phone:954-979-8183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist