Healthcare Provider Details

I. General information

NPI: 1780442475
Provider Name (Legal Business Name): SYLVIA DEUTSCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2024
Last Update Date: 03/08/2024
Certification Date: 03/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 DE'LEPEE CANADA
MONTREAL QUEBEC
H2V3T3
CA

IV. Provider business mailing address

271 DE'LEPEE
MONTREAL QUEBEC
H2V 3T3
CA

V. Phone/Fax

Practice location:
  • Phone: 438-765-1386
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number003379-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: