Provider Demographics
NPI:1245300086
Name:ORLASKY, CINDY L (PHD)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:L
Last Name:ORLASKY
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 1:8131 HUBBARD VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:SEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44273-9373
Mailing Address - Country:US
Mailing Address - Phone:330-769-3690
Mailing Address - Fax:
Practice Address - Street 1:210 E MILLTOWN RD
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-1246
Practice Address - Country:US
Practice Address - Phone:330-345-0955
Practice Address - Fax:330-345-3420
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3337103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCP10683Medicare PIN