Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 3841 | NC |
N | 103TC0700X | Clinical Psychologist | 3841 | NC |
Y | 102L00000X | Psychologist | 3841 | NC |
Y | 103T00000X | Psychologist | 3841 | NC |
NPI | 1003140898 |
---|---|
Provider Name | Dr. Mary E Debeus |
First Address | Asheville, NC 28801-3511 |
Second Address | Asheville, NC 28801-3511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2009 |
Last Update Date | 16/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6001185 | (05) | NC |