HOLLY ORCUTT


Address: 475 Dunham Rd Ste 1b, Saint Charles, IL 60174-1498
Phone: 6308999403

HOLLY ORCUTT (NPI# 1316423924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316423924
Entity Type Individual
Full Name HOLLY ORCUTT
Credential PHD
Practice Address 475 Dunham Rd Ste 1b
Saint Charles
IL 60174-1498
Practice Telephone 6308999403
Mailing Telephone 6308999403
Enumeration Date 2018-07-17
Last Update Date 2018-07-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
071006076 IL Behavioral Health & Social Service Providers

Office Location

Street Address 475 DUNHAM RD STE 1B
City SAINT CHARLES
State IL
Zip Code 60174-1498

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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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NPI Name Taxonomy Address Enumeration
1669682308 Vincent F. Stock Psychologist 201 N Main St Ste 210, Saint Charles, MO 63301-2878 2007-05-23

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Competitor

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City SAINT CHARLES
Zip Code 60174

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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