Individual
DR. DEBORAH ELLYN WATERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1546 MCDANIEL DR, WEST CHESTER, PA 19380-7035
(610) 399-7057
Mailing address
1 COBBLESTONE CT, GLEN MILLS, PA 19342-1774
(610) 399-7057
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS015001
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1370686
BLUE CROSS/BLUE SHIELD
PA
Enumeration date
10/10/2006
Last updated
07/08/2007
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