Healthcare Provider Details

I. General information

NPI: 1700820289
Provider Name (Legal Business Name): DEBRA KUHN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 S WINDSOR AVE
BRIGHTWATERS NY
11718-1506
US

IV. Provider business mailing address

140 S WINDSOR AVE
BRIGHTWATERS NY
11718-1506
US

V. Phone/Fax

Practice location:
  • Phone: 631-666-3354
  • Fax: 631-666-1663
Mailing address:
  • Phone: 631-666-3354
  • Fax: 631-666-1663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number7848-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: