Provider Demographics
NPI:1558832915
Name:KACHIK, DEBRA K (PHD)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:K
Last Name:KACHIK
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 1:42 LIBERTY RD UNIT R
Mailing Address - Street 2:
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784-8697
Mailing Address - Country:US
Mailing Address - Phone:443-340-4021
Mailing Address - Fax:
Practice Address - Street 1:42 LIBERTY RD UNIT R
Practice Address - Street 2:
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784-8697
Practice Address - Country:US
Practice Address - Phone:443-340-4021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-11
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04358103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical