Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PS1391 | ME |
Y | 103TC0700X | Clinical Psychologist | PS1391 | ME |
N | 102L00000X | Psychologist | PS1391 | ME |
N | 103T00000X | Psychologist | PS1391 | ME |
NPI | 1013320357 |
---|---|
Provider Name | Cara Marie Orton |
First Address | Freeport, ME 04032-6312 |
Second Address | Freeport, ME 04032-6312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2014 |
Last Update Date | 04/06/2014 |