Provider Demographics
NPI:1649503764
Name:ORCUTT, MEGAN ANNE (PSYD)
Entity type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:ANNE
Last Name:ORCUTT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:ORCUTT
Other - Last Name:DUGGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:4570 E CAMP LOWELL DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-1282
Mailing Address - Country:US
Mailing Address - Phone:520-200-1630
Mailing Address - Fax:520-338-8541
Practice Address - Street 1:4570 E CAMP LOWELL DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1282
Practice Address - Country:US
Practice Address - Phone:520-200-1630
Practice Address - Fax:520-338-8541
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4511103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical