MEDICARE: DR. DEBORAH H. APPLEFIELD 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	002256	CT

General Provider Information

NPI Number	:	1992824460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH H. APPLEFIELD PH.D.

Provider Business Mailing Address
First Line	:	24 OXBOW DR
Second Line	:
City	:	AVON
State	:	CT
Zip	:	06001-2434
Country	:	US
Telephone Number	:	860-675-5262
Fax Number	:

Provider Business Practice Location Address
First Line	:	409 BANTAM RD
Second Line	:	SUITE A1
City	:	LITCHFIELD
State	:	CT
Zip	:	06759-3200
Country	:	US
Telephone Number	:	860-567-3255
Fax Number	:

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

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	07/08/2007

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