Provider Demographics
NPI:1831309012
Name:ORENSTEIN, HARRY J (PHD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:J
Last Name:ORENSTEIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4107 FIELDS DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19444-1532
Mailing Address - Country:US
Mailing Address - Phone:215-836-7220
Mailing Address - Fax:215-836-7220
Practice Address - Street 1:4 E GERMANTOWN PIKE
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1533
Practice Address - Country:US
Practice Address - Phone:215-836-7220
Practice Address - Fax:215-836-7220
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA003008-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical