Doctor Name: | DR. DEBRA ANN BJORK |
NPI Number: | 1033429568 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | TL38954 |
Business Practice Address: | 3965 Fish Hatchery Rd Gaston, SC - 290539038 |
Business Phone Number: | 8037552261 |
Business Fax Number: | 8037559982 |
Mailing Address: | 3965 Fish Hatchery Rd, GASTON |
State: | SC |
Postal Code: | 290539038 |
Phone Number: | 8037552261 |
Fax Number: | 8037559982 |
NPI Enumeration Date: | 10/18/2010 |
NPI Last Update Date: | 02/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084B0040X |
License Number: | TL38954 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Behavioral Neurology & Neuropsychiatry |
Taxonomy Definition: | Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |