Individual
DR. DEBORAH MORRISON THEVENIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7685 SW 104TH ST, SUITE 100, MIAMI, FL 33156-3161
(305) 666-8000
Mailing address
1500 BAY RD, UNIT 716 SOUTH, MIAMI BEACH, FL 33139-3252
(305) 495-7603
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY4442
FL
103TH0004X
Health Psychologist
PSY4442
FL
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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