MEDICARE: DEBORAH L JOSSELYN

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
1	1041C0700X	Clinical Social Worker	LCSW18983	AZ

General Provider Information

NPI Number	:	1164817300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH L JOSSELYN

Provider Business Mailing Address
First Line	:	2022 E PRINCE RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-2005
Country	:	US
Telephone Number	:	520-327-0007
Fax Number	:	520-327-6902

Provider Business Practice Location Address
First Line	:	2022 E PRINCE RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-2005
Country	:	US
Telephone Number	:	520-327-0007
Fax Number	:	520-327-6902

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2015
Last Update Date	:	01/21/2026

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Directions to “ DEBORAH L JOSSELYN ” Practice Location

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