Organization
DEBRA H. COLE, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA COLE (CLINICAL CHILD PSYCHOLOGIST)
(570) 490-0075
Entity
Organization
Contact information
Practice address
1116 MILL ST STE 102, DANVILLE, PA 17821-1078
(570) 490-0075
(570) 271-1995
Mailing address
1116 MILL ST STE 102, DANVILLE, PA 17821-1078
(570) 490-0075
(570) 271-1995
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027911860001
—
PA
Enumeration date
06/18/2019
Last updated
06/18/2019
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