Provider Demographics
NPI:1538579438
Name:ORSAG, DEANA KAY
Entity type:Individual
Prefix:
First Name:DEANA
Middle Name:KAY
Last Name:ORSAG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2646 39TH PL
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-2720
Mailing Address - Country:US
Mailing Address - Phone:219-922-1713
Mailing Address - Fax:
Practice Address - Street 1:8955 COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-2903
Practice Address - Country:US
Practice Address - Phone:219-923-8110
Practice Address - Fax:219-923-4700
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health