Healthcare Provider Details

I. General information

NPI: 1467609065
Provider Name (Legal Business Name): CHRISTI M ORLOWSKI PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2008
Last Update Date: 05/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 WATERVILLE ROAD
AVON CT
06001
US

IV. Provider business mailing address

60 SILVER HILL RD
DERBY CT
06418-1037
US

V. Phone/Fax

Practice location:
  • Phone: 860-284-0182
  • Fax: 860-284-6804
Mailing address:
  • Phone: 860-830-0421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number003018
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: