Provider Demographics
NPI:1215945902
Name:SABOYA, DEBORAH IDA (LICSW, ABD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:IDA
Last Name:SABOYA
Suffix:
Gender:F
Credentials:LICSW, ABD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1013
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-0011
Mailing Address - Country:US
Mailing Address - Phone:401-662-9812
Mailing Address - Fax:
Practice Address - Street 1:73 PELHAM ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840
Practice Address - Country:US
Practice Address - Phone:401-662-9812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW015731041C0700X
MA10306221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical