Physician Compare National (NPI:1346252418)

HEALTHCARE PROVIDER: DEBORAH F. FERNHOFF PH.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1346252418
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4688758626
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080228000530
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FERNHOFF
	Individual professional last name
Provider First Name	DEBORAH
	Individual professional first name
Provider Middle Name	F
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TEMPLE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1975
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	300 W WIEUCA RD
	Group Practice or individual's line 1 address
Line 2 Street Address	BLDG 2 SUITE 200
	Group Practice or individual's line 2 address
City	ATLANTA
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	303423352
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y