# DORIS ANNE DEVELDER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053881805
- **Gender:** F
- **Credential:** RN, BSN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 464246 | NY | Yes |

## Other

- **Enumeration date:** 12/04/2018
- **Last updated:** 12/04/2018