Provider Demographics
NPI:1467583914
Name:CAMPBELL-ORR, HEATHER LYNN (HEATHER CAMPBELL-ORR)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:LYNN
Last Name:CAMPBELL-ORR
Suffix:
Gender:F
Credentials:HEATHER CAMPBELL-ORR
Other - Prefix:MRS
Other - First Name:HEATHER
Other - Middle Name:LYNN
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HEATHER CAMPBELL-ORR
Mailing Address - Street 1:2101 E RIVER RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-6508
Mailing Address - Country:US
Mailing Address - Phone:520-529-2226
Mailing Address - Fax:520-577-5307
Practice Address - Street 1:2101 E RIVER RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-6508
Practice Address - Country:US
Practice Address - Phone:520-529-2226
Practice Address - Fax:520-577-5307
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool