Provider Demographics
NPI:1780780320
Name:ORUJEV, ELENA (PHD)
Entity type:Individual
Prefix:DR
First Name:ELENA
Middle Name:
Last Name:ORUJEV
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 1:171 DWIGHT RD
Mailing Address - Street 2:SUITE 305-A
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-1673
Mailing Address - Country:US
Mailing Address - Phone:413-754-4200
Mailing Address - Fax:413-754-4171
Practice Address - Street 1:171 DWIGHT RD
Practice Address - Street 2:SUITE 305-A
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-1673
Practice Address - Country:US
Practice Address - Phone:413-754-4200
Practice Address - Fax:413-754-4171
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8076103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW06435OtherBCBS PROVIDER ID NUMBER
MAW06435OtherBCBS PROVIDER ID NUMBER