Individual
DEBORAH ANN PRIEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2780 MIDDLE COUNTRY RD, SUITE 209, LAKE GROVE, NY 11755-2124
(631) 361-5080
Mailing address
26 NEIL DR, SMITHTOWN, NY 11787-1538
(631) 656-8505
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012593-01
NY
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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