Provider Demographics
NPI:1962710657
Name:MAY, DEBORAH CARROLL (PHD)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:CARROLL
Last Name:MAY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:CARROLL
Other - Last Name:DUNCAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1202 W WILLOW RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-2530
Mailing Address - Country:US
Mailing Address - Phone:580-237-4100
Mailing Address - Fax:866-237-2244
Practice Address - Street 1:1202 W WILLOW RD
Practice Address - Street 2:SUITE B
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-2530
Practice Address - Country:US
Practice Address - Phone:580-237-4100
Practice Address - Fax:866-237-2244
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK685103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service