Individual
DR. DEBRA DANENE NYGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810001703
VA
103TC0700X
Clinical Psychologist
Primary
PSY1000843
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026
CARE FIRST BCBS
VA
05
—
004945026
—
VA
01
—
188487
ANTHEM
VA
01
—
270291
AMERIGROUP VIRGINIA INC.
VA
01
—
546001103002
TRICARE
VA
01
—
BY52
CAREFIRST BC/BS
DC
Enumeration date
12/12/2006
Last updated
01/10/2017
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