Provider Demographics
NPI:1487929857
Name:KENIGSBERG, DEBORAH M (PSYD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:M
Last Name:KENIGSBERG
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:DEBORAH
Other - Middle Name:M
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:22118 PALAIS PL
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-5878
Mailing Address - Country:US
Mailing Address - Phone:818-645-9562
Mailing Address - Fax:
Practice Address - Street 1:22118 PALAIS PL
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-5878
Practice Address - Country:US
Practice Address - Phone:818-645-9562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-17
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPS2011014103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical