Healthcare Provider Details

I. General information

NPI: 1477876563
Provider Name (Legal Business Name): DEBORAH M NAGEL MA, CAADC, MAC, SAP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2010
Last Update Date: 02/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

528 W. MARKET ST
PERKASIE PA
18944
US

IV. Provider business mailing address

528 W. MARKET ST
PERKASIE PA
18944
US

V. Phone/Fax

Practice location:
  • Phone: 267-577-5703
  • Fax:
Mailing address:
  • Phone: 267-577-5703
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0292
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: