Individual
DR. DEBORAH ELLYN WATERMAN
Active
Individual
DR. DEBORAH ELLYN WATERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
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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