Provider Demographics
NPI:1659442853
Name:OREN, ILANA HALINA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ILANA
Middle Name:HALINA
Last Name:OREN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5622 S ROCKY POINT RD
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-2134
Mailing Address - Country:US
Mailing Address - Phone:480-818-0227
Mailing Address - Fax:480-491-4293
Practice Address - Street 1:2915 E BASELINE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234
Practice Address - Country:US
Practice Address - Phone:480-776-0626
Practice Address - Fax:480-491-4293
Is Sole Proprietor?:No
Enumeration Date:2006-11-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0288101YP1600X
AZLMFT0088106H00000X
CAMFC8047106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist