Provider Demographics
NPI:1588111926
Name:DEWITT, DEBORAH L (LMFT)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:L
Last Name:DEWITT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13990 WINDY PINE DR
Mailing Address - Street 2:
Mailing Address - City:ELBERT
Mailing Address - State:CO
Mailing Address - Zip Code:80106-8874
Mailing Address - Country:US
Mailing Address - Phone:719-327-0656
Mailing Address - Fax:719-327-0657
Practice Address - Street 1:13990 WINDY PINE DR
Practice Address - Street 2:
Practice Address - City:ELBERT
Practice Address - State:CO
Practice Address - Zip Code:80106-8874
Practice Address - Country:US
Practice Address - Phone:719-327-0656
Practice Address - Fax:719-327-0657
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0001076106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist