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NPI Code Detail

MEDICARE: DEENA S. HARBAUGH M.S., LPC

MEDICARE:   DEENA S. HARBAUGH  M.S., LPC
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
1101YP2500XProfessional Counselor17139TX

General Provider Information

NPI Number : 1053515528
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEENA S. HARBAUGH M.S., LPC
Provider Business Mailing Address
First Line : 3626 N HALL ST
Second Line : SUITE619
City : DALLAS
State : TX
Zip : 75219-5105
Country : US
Telephone Number : 469-324-7909
Fax Number : 214-275-6900
Provider Business Practice Location Address
First Line : 3626 N HALL ST
Second Line : SUITE619
City : DALLAS
State : TX
Zip : 75219-5105
Country : US
Telephone Number : 469-324-7909
Fax Number : 214-275-6900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2007
Last Update Date : 01/17/2008

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Directions to “ DEENA S. HARBAUGH M.S., LPC” Practice Location

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