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NPI Code Detail

MEDICARE: MRS. DEBORAH P. KING L.P.C.

MEDICARE:  MRS. DEBORAH P. KING  L.P.C.
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
1101YM0800XMental Health CounselorP0004011AR

General Provider Information

NPI Number : 1134193584
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBORAH P. KING L.P.C.
Provider Business Mailing Address
First Line : 1894 MOUNT PLEASANT DR
Second Line :
City : NASHVILLE
State : AR
Zip : 71852-3749
Country : US
Telephone Number : 870-845-1177
Fax Number : 870-845-0002
Provider Business Practice Location Address
First Line : 1894 MOUNT PLEASANT DR
Second Line :
City : NASHVILLE
State : AR
Zip : 71852-3749
Country : US
Telephone Number : 870-845-1177
Fax Number : 870-845-0002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. DEBORAH P. KING L.P.C.” Practice Location

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