Individual
DR. DEBORAH LYNN SOUTHERLAND
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
230 NORTHLAND BLVD, SUITE 102, CINCINNATI, OH 45246-3675
(513) 670-9000
(513) 648-0156
Mailing address
1572 OTTERCREEK DR, CINCINNATI, OH 45240-2856
(513) 674-0900
(513) 648-0156
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4118
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0722132
—
OH
Enumeration date
12/29/2005
Last updated
07/08/2007
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