Individual
MRS. DEBBIE DEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSPE
Contact information
Practice address
133 MECKLINBURG DR, BOLIVAR, TN 38008-1747
(731) 343-3084
Mailing address
133 MECKLINBURG DR, BOLIVAR, TN 38008-1747
(731) 343-3084
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1482
TN
Other
Enumeration date
07/10/2017
Last updated
03/17/2018
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