Organization
GUY ORLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUY ORLY (CLINICIAN)
(203) 858-8589
Entity
Organization
Contact information
Practice address
4 TRANQUILITY LN, WESTPORT, CT 06880-5032
(203) 858-8589
Mailing address
4 TRANQUILITY LN, WESTPORT, CT 06880-5032
(203) 858-8589
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1799
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004069985
—
CT
Enumeration date
03/11/2016
Last updated
08/19/2016
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