Basic Information
Provider Information
NPI: 1740320688
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ORCIARI
FirstName: CHRISTINA
MiddleName: M
NamePrefix: MS.
NameSuffix:  
Credential: MA LMHC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2079 BAPTIST HILL RD
Address2:  
City: PALMER
State: MA
PostalCode: 010699607
CountryCode: US
TelephoneNumber: 4132891125
FaxNumber:  
Practice Location
Address1: 29 PINE ST
Address2:  
City: SOUTHBRIDGE
State: MA
PostalCode: 015501823
CountryCode: US
TelephoneNumber: 5087659167
FaxNumber: 5087642462
Other Information
ProviderEnumerationDate: 02/08/2007
LastUpdateDate: 09/23/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X5390MAY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


Home