Organization
DEBORAH J EBENER PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH J EBENER PH.D. (PSYCHOLOGIST / OWNER)
(850) 766-1669
Entity
Organization
Contact information
Practice address
1334 TIMBERLANE RD, SUITE 2, TALLAHASSEE, FL 32312-1766
(850) 766-1669
Mailing address
1334 TIMBERLANE RD, SUITE 2, TALLAHASSEE, FL 32312-1766
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY5093
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59612
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/01/2010
Last updated
04/01/2010
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