Basic Information
| Provider Information | |||||||||
| NPI: | 1033592837 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ORR | ||||||||
| FirstName: | RACHEL | ||||||||
| MiddleName: | LAWSON | ||||||||
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| Credential: | PSYD | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | LAWSON | ||||||||
| OtherFirstName: | RACHEL | ||||||||
| OtherMiddleName: | ASHLEY | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 3 SHAPE DR | ||||||||
| Address2: | |||||||||
| City: | KENNEBUNK | ||||||||
| State: | ME | ||||||||
| PostalCode: | 040436601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2074678966 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | SOUTHERN MAINE HEALTH CARE PEDIATRICS | ||||||||
| Address2: | 3 SHAPE DRIVE | ||||||||
| City: | KENNEBUNK | ||||||||
| State: | ME | ||||||||
| PostalCode: | 04043 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2074678930 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2015 | ||||||||
| LastUpdateDate: | 08/06/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103G00000X | N | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | 103TC0700X | 1369 | NH | N | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103TC0700X | PS1588 | ME | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.