Raymond J Odiorne
Pastoral Counselor
56 Church St
Waterbury
, Connecticut 06702-2103
Raymond J Odiorne
Pastoral Counselor
56 Church St
Waterbury
, Connecticut 06702-2103
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About
Features
Specialties
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Raymond J Odiorne
- 136 Woodside Ave
- Waterbury, CT
- Zip : 06708-2504
- Phone :
Second Address
- Raymond J Odiorne
- 56 Church St
- Waterbury, CT
- Zip : 06702-2103
- Fax : (203) 575-9675
- Phone : (203) 755-1196
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP1600X | Pastoral Counselor | 000278 | CT |
National Provider Identifier
| NPI | 1164525978 |
|---|---|
| Provider Name | Raymond J Odiorne |
| First Address | Waterbury, CT 06708-2504 |
| Second Address | Waterbury, CT 06702-2103 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| ANTHEM | 24000278CT04 (01) | CT |
| COMP CARE | ODIOR0010 (01) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.