Provider Demographics
NPI:1215429212
Name:DEANES, DEBRA (PHD)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:
Last Name:DEANES
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 1:30233 SOUTHFIELS RD
Mailing Address - Street 2:203
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076
Mailing Address - Country:US
Mailing Address - Phone:314-299-0920
Mailing Address - Fax:
Practice Address - Street 1:30233 SOUTHFIELS RD
Practice Address - Street 2:203
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076
Practice Address - Country:US
Practice Address - Phone:314-299-0920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-05
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral