Provider Demographics
NPI:1043057144
Name:ORCUTT, ISAIAH (MS CF-SLP)
Entity type:Individual
Prefix:
First Name:ISAIAH
Middle Name:
Last Name:ORCUTT
Suffix:
Gender:M
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1059 GREENLAND CIR
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25309-1703
Mailing Address - Country:US
Mailing Address - Phone:304-982-4584
Mailing Address - Fax:
Practice Address - Street 1:631 SILVER SPRING AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4607
Practice Address - Country:US
Practice Address - Phone:240-740-0620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02946L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist