Provider Demographics
NPI:1972835890
Name:ROHM, DEBORAH LEE (MS)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LEE
Last Name:ROHM
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2115 DURSTON RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-2800
Mailing Address - Country:US
Mailing Address - Phone:406-451-3212
Mailing Address - Fax:
Practice Address - Street 1:2115 DURSTON RD
Practice Address - Street 2:SUITE 10
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-2800
Practice Address - Country:US
Practice Address - Phone:406-451-3212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health