Healthcare Provider Details
I. General information
NPI: 1386723120
Provider Name (Legal Business Name): REBECCA A DEUCHAR PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/03/2006
Last Update Date: 06/12/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1730 S EASTON RD
DOYLESTOWN PA
18901-2885
US
IV. Provider business mailing address
807 LAWN AVE P.O. BOX 32
SELLERSVILLE PA
18960-1549
US
V. Phone/Fax
- Phone: 215-345-3700
- Fax:
- Phone: 215-257-6551
- Fax: 215-453-5181
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | RN619470 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: