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NPI Code Detail

MEDICARE: MS. DEBORAH JANE DEVLIN LSW, LPCC

MEDICARE: MS. DEBORAH JANE DEVLIN LSW, LPCC
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 CounselorE0004001OH
21041C0700XClinical Social WorkerS.0017293

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710069976
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBORAH JANE DEVLIN LSW, LPCC
Provider Business Mailing Address
First Line : 179 HUNT CLUB DR
Second Line :
City : COPLEY
State : OH
Zip : 44321-2735
Country : US
Telephone Number : 330-212-4876
Fax Number : 330-633-4294
Provider Business Practice Location Address
First Line : 246 NORTHLAND DR
Second Line :
City : MEDINA
State : OH
Zip : 44256-3441
Country : US
Telephone Number : 330-725-9195
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 02/20/2020

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