Provider Demographics
NPI:1194284349
Name:ORIEL OFFIT, CLINICAL PSYCHOLOGIST, LLC
Entity type:Organization
Organization Name:ORIEL OFFIT, CLINICAL PSYCHOLOGIST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ORIEL
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:OFFIT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:207-653-8449
Mailing Address - Street 1:222 SAINT JOHN ST STE 227
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04102-3058
Mailing Address - Country:US
Mailing Address - Phone:207-653-8449
Mailing Address - Fax:
Practice Address - Street 1:222 SAINT JOHN ST STE 227
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102-3058
Practice Address - Country:US
Practice Address - Phone:207-653-8449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-18
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health