Individual
DR. DEBORAH MCNEIL OKON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
315 W REINKEN AVE, STE C, BELEN, NM 87002-4257
(505) 861-3894
(505) 861-3897
Mailing address
315 W REINKEN AVE, STE C, BELEN, NM 87002-4257
(505) 861-3894
(505) 861-3897
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
654
NM
103TS0200X
School Psychologist
264001
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54002
PRESBYTERIAN HEALTH PLAN
NM
01
—
NL55
BLUE CROSS/BLUE SHIELD
NM
05
—
P4668
—
NM
Enumeration date
05/24/2005
Last updated
03/12/2021
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