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NPI Code Detail

MEDICARE: DR. CARISSA MARY ORLANDO PHD

MEDICARE: DR. CARISSA MARY ORLANDO PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist1777SC

General Provider Information

NPI Number : 1861744344
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARISSA MARY ORLANDO PHD
Provider Business Mailing Address
First Line : 1331 ELMWOOD AVE STE 140
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2150
Country : US
Telephone Number : 803-777-7302
Fax Number :
Provider Business Practice Location Address
First Line : 1331 ELMWOOD AVE STE 140
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2150
Country : US
Telephone Number : 803-777-7302
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2012
Last Update Date : 07/26/2024

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Directions to “ DR. CARISSA MARY ORLANDO PHD” Practice Location

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