Organization
DEBORAH E HEALEY MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH ELIZABETH HEALEY MD (OWNER MANAGER & SOLO PRACTITIONER)
(434) 296-0456
Entity
Organization
Contact information
Practice address
100 EAST SOUTH STREET, SUITE 2, CHARLOTTESVILLE, VA 22903-5217
(434) 298-0456
Mailing address
100 EAST SOUTH STREET, SUITE 2, CHARLOTTESVILLE, VA 22903-5217
(434) 298-0456
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101038681
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010007186
—
VA
01
—
190000819
MEDICARE PROVIDER NUMBER
VA
Enumeration date
05/07/2008
Last updated
05/07/2008
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