Provider Demographics
NPI:1194051391
Name:PETERS, DEBORAH A (RPA, RRA, RT (R)(CV))
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:A
Last Name:PETERS
Suffix:
Gender:F
Credentials:RPA, RRA, RT (R)(CV)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:627 DETTMER LN
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18067-9652
Mailing Address - Country:US
Mailing Address - Phone:610-767-6408
Mailing Address - Fax:
Practice Address - Street 1:627 DETTMER LN
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18067-9652
Practice Address - Country:US
Practice Address - Phone:610-767-6408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-22
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA243U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes243U00000XTechnologists, Technicians & Other Technical Service ProvidersRadiology Practitioner Assistant