Doctor Name: | DR. ELFI SILVA DEPORTER |
NPI Number: | 1033216361 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 23714 |
Business Practice Address: | 1585th Street (bldg 285) Leesville, LA - 71459 |
Business Phone Number: | 3375313922 |
Business Fax Number: | 3375313760 |
Mailing Address: | 270 S Planer Mill Rd, DERIDDER |
State: | LA |
Postal Code: | 706343142 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 23714 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |