Provider Demographics
NPI:1174740583
Name:DRUCKER, DEBRA B (PHD)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:B
Last Name:DRUCKER
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 1:15 ROWENA RD
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-1718
Mailing Address - Country:US
Mailing Address - Phone:718-614-2596
Mailing Address - Fax:718-227-7063
Practice Address - Street 1:215 GORDONS CORNER RD
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3351
Practice Address - Country:US
Practice Address - Phone:732-972-1379
Practice Address - Fax:718-227-7063
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00532200103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYVL4851Medicare ID - Type Unspecified