Orr, Carol Jean

Orr, Carol Jean is an individual health care provider with primary practice located at 1300 E Bradford Pkwy , Springfield MO 65804-4264. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Orr, Carol Jean can be contacted via phone (417) 269-5400.

Contact Information

Primary practice address
1300 E Bradford Pkwy Springfield MO 65804-4264
Phone: (417) 269-5400
Fax: (417) 269-7212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X R0368 Missouri

Profile Details

NPI number 1093712606
LBN Legal business name Orr, Carol Jean
Credentials PSYD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2005
Last updated Mar 22nd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093712606 NPPES
Missouri MEDICAID 497717942

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