Organization
DEBORAH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA BUFFETT (OWNER)
(773) 213-8495
Entity
Organization
Contact information
Practice address
5454 S SHORE DR APT 922, CHICAGO, IL 60615-5995
(773) 213-8495
Mailing address
5454 S SHORE DR APT 922, CHICAGO, IL 60615-5995
(773) 213-8495
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
163W00000X
Registered Nurse
—
—
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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