Provider Demographics
NPI:1467609065
Name:ORLOWSKI, CHRISTI M (PSYD)
Entity Type:Individual
Prefix:
First Name:CHRISTI
Middle Name:M
Last Name:ORLOWSKI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 SILVER HILL RD
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:CT
Mailing Address - Zip Code:06418-1037
Mailing Address - Country:US
Mailing Address - Phone:860-830-0421
Mailing Address - Fax:
Practice Address - Street 1:21 WATERVILLE ROAD
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001
Practice Address - Country:US
Practice Address - Phone:860-284-0182
Practice Address - Fax:860-284-6804
Is Sole Proprietor?:No
Enumeration Date:2008-08-26
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003018103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical