MEDICARE: DR. DEBRA LYNN BEHRMAN PH.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
1	103TC0700X	Clinical Psychologist	071-002698	IL

General Provider Information

NPI Number	:	1871728568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBRA LYNN BEHRMAN PH.D.

Provider Business Mailing Address
First Line	:	310 HAPP RD
Second Line	:	SUITE 220
City	:	NORTHFIELD
State	:	IL
Zip	:	60093-3455
Country	:	US
Telephone Number	:	847-835-4100
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 HAPP RD
Second Line	:	SUITE 220
City	:	NORTHFIELD
State	:	IL
Zip	:	60093-3455
Country	:	US
Telephone Number	:	847-835-4100
Fax Number	:

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

Provider Enumeration Date	:	05/25/2009
Last Update Date	:	05/25/2009

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