Provider Demographics
NPI:1104976547
Name:WEBB, DEBORAH KAY (PHD, LCSW-S, LPC,L)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:KAY
Last Name:WEBB
Suffix:
Gender:F
Credentials:PHD, LCSW-S, LPC,L
Other - Prefix:DR
Other - First Name:DEBBIE
Other - Middle Name:
Other - Last Name:WEBB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD, LCSW, LPC
Mailing Address - Street 1:2407 S. CONGRESS AVE.
Mailing Address - Street 2:STE E-730
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704
Mailing Address - Country:US
Mailing Address - Phone:512-799-9358
Mailing Address - Fax:737-255-9744
Practice Address - Street 1:2409 LITTLE JOHN LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-5616
Practice Address - Country:US
Practice Address - Phone:512-799-9358
Practice Address - Fax:737-255-9744
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10939101YP2500X
TX344671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX027536401Medicaid
TX734708OtherPTAN