Provider Demographics
NPI:1295947067
Name:ORR, CHRISTINE N (PHD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:N
Last Name:ORR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:24100 CHAGRIN BLVD
Mailing Address - Street 2:SUITE 370
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5535
Mailing Address - Country:US
Mailing Address - Phone:216-464-8380
Mailing Address - Fax:440-247-4368
Practice Address - Street 1:24100 CHAGRIN BLVD
Practice Address - Street 2:SUITE 370
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5535
Practice Address - Country:US
Practice Address - Phone:216-464-8380
Practice Address - Fax:440-247-4368
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH2558103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1295947067OtherNPI