Healthcare Provider Details

I. General information

NPI: 1740382282
Provider Name (Legal Business Name): DEBORAH ANN ORR PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2006
Last Update Date: 10/20/2024
Certification Date: 10/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17555 E HIGHWAY 40
SILVER SPRINGS FL
34488-5645
US

IV. Provider business mailing address

17555 E HIGHWAY 40
SILVER SPRINGS FL
34488-5645
US

V. Phone/Fax

Practice location:
  • Phone: 407-697-9638
  • Fax:
Mailing address:
  • Phone: 407-697-9638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY5653
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY0005653
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: