Individual
MS. DEBORAH NYLEN BAUSERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D
Contact information
Practice address
611 S BRADDOCK ST, WINCHESTER, VA 22601-4050
(540) 667-2137
(540) 667-4286
Mailing address
611 S BRADDOCK ST, WINCHESTER, VA 22601-4050
(540) 667-2137
(540) 667-4286
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001543
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066598
ANTHEM
—
Enumeration date
03/06/2007
Last updated
07/08/2007
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