Provider Demographics
NPI:1104091271
Name:MICHEL, DEBORAH M (PHD)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:M
Last Name:MICHEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4840 W PANTHER CREEK DR
Mailing Address - Street 2:SUITE 212
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-3527
Mailing Address - Country:US
Mailing Address - Phone:281-465-9229
Mailing Address - Fax:281-465-9235
Practice Address - Street 1:4840 W PANTHER CREEK DR
Practice Address - Street 2:SUITE 212
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-3527
Practice Address - Country:US
Practice Address - Phone:281-465-9229
Practice Address - Fax:281-465-9235
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33536103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical