Provider Demographics
NPI:1992328728
Name:DEFOUR-PIERCE, DEBRA (PSYD, LMHC)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:DEFOUR-PIERCE
Suffix:
Gender:F
Credentials:PSYD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 OVERLOOK RD
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-2107
Mailing Address - Country:US
Mailing Address - Phone:845-825-2221
Mailing Address - Fax:
Practice Address - Street 1:77 OVERLOOK RD
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-2107
Practice Address - Country:US
Practice Address - Phone:845-825-2221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002471-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty