Healthcare Provider Details

I. General information

NPI: 1710275920
Provider Name (Legal Business Name): DR. DEBORAH RAE ORKISZEWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2011
Last Update Date: 07/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 WALNUT ST SUITE 350
CARY NC
27511-4215
US

IV. Provider business mailing address

101 RALPH DR
CARY NC
27511-4027
US

V. Phone/Fax

Practice location:
  • Phone: 919-210-5394
  • Fax:
Mailing address:
  • Phone: 919-210-5394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: