Doctor Name: | DEBORAH B. DEACON |
NPI Number: | 1003860362 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | 1577-C |
Business Practice Address: | 1920 Main St Suite 231 North Little Rock, AR - 721142872 |
Business Phone Number: | 5019440030 |
Business Fax Number: | |
Mailing Address: | 331 Goshen Ave, NORTH LITTLE ROCK |
State: | AR |
Postal Code: | 721168933 |
Phone Number: | 5019440030 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 04/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1577-C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |