Basic Information
| Provider Information | |||||||||
| NPI: | 1619026762 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ORNE | ||||||||
| FirstName: | DOUGLAS | ||||||||
| MiddleName: | MATTHEW | ||||||||
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| Credential: | PSY.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 523 HANCOCK ST | ||||||||
| Address2: | UNIT # 9 | ||||||||
| City: | QUINCY | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021701943 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6179216038 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1 CLARKS HL | ||||||||
| Address2: | SUITE 305 | ||||||||
| City: | FRAMINGHAM | ||||||||
| State: | MA | ||||||||
| PostalCode: | 017028172 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5086286300 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/09/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103T00000X | 8215 | MA | Y | Behavioral Health & Social Service Providers | Psychologist |
No ID Information.