Doctor Name: | MS. DEBRA E. BOXER |
NPI Number: | 1003965989 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | 3496 |
Business Practice Address: | 605 Us Route 1 Suite 5 Scarborough, ME - 040749617 |
Business Phone Number: | 2078833922 |
Business Fax Number: | 2078833922 |
Mailing Address: | Po Box 684, SCARBOROUGH |
State: | ME |
Postal Code: | 040700684 |
Phone Number: | 2078833922 |
Fax Number: | 2078833922 |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3496 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |