DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. DEBORAH LYNN CHIDDIX PSY.D.

MEDICARE: DR. DEBORAH LYNN CHIDDIX PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY 24232CA

General Provider Information

NPI Number : 1043389000
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBORAH LYNN CHIDDIX PSY.D.
Provider Business Mailing Address
First Line : 434 EARLE ST
Second Line :
City : SANTA ROSA
State : CA
Zip : 95404-5413
Country : US
Telephone Number : 707-696-7816
Fax Number :
Provider Business Practice Location Address
First Line : 434 EARLE ST
Second Line :
City : SANTA ROSA
State : CA
Zip : 95404-5413
Country : US
Telephone Number : 707-696-6620
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 05/13/2026

Similar Medicare Providers

1528118395 — DR. JENNIFER HUNG D.O.
Practice Location Address:
2240 MERCURY WAY
SANTA ROSA, CA
95407-5413
Practice Phone: 707-687-6125
Practice Fax:
1922413673 — AURORA ALEJANDRA GOMEZ SELPIDES MD, MPH
Practice Location Address:
2240 MERCURY WAY
SANTA ROSA, CA
95407-5413
Practice Phone: 707-566-6302
Practice Fax:
1740773035 — DR. KATHERINE PETTIBONE DPM
Practice Location Address:
2240 MERCURY WAY
SANTA ROSA, CA
95407-5413
Practice Phone: 707-570-3120
Practice Fax:
1104482132 — GARYN WORRALL MD
Practice Location Address:
2240 MERCURY WAY
SANTA ROSA, CA
95407-5413
Practice Phone: 707-393-4000
Practice Fax:
1194306878 — SIMONE EASTERBROOK DO
Practice Location Address:
2240 MERCURY WAY
SANTA ROSA, CA
95407-5413
Practice Phone: 707-657-3142
Practice Fax:
1215007364 — ACOLOGY HOME HEALTHCARE, INC
Practice Location Address:
1414 WILSHIRE BLVD
SANTA MONICA, CA
90403-5413
Practice Phone: 310-260-9633
Practice Fax:

Directions to “ DR. DEBORAH LYNN CHIDDIX PSY.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.