Provider Demographics
NPI:1962419028
Name:OSGOOD-HYNES, DEBORAH J (PSYD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:J
Last Name:OSGOOD-HYNES
Suffix:
Gender:F
Credentials:PSYD
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 15327
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28813-0327
Mailing Address - Country:US
Mailing Address - Phone:828-820-2000
Mailing Address - Fax:
Practice Address - Street 1:417 BILTMORE AVE STE 5G2
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4501
Practice Address - Country:US
Practice Address - Phone:828-820-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5315103TC0700X
MA6977103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW05542OtherBCBS MA
MA0525367Medicaid
MAW05542OtherBCBS MA