Doctor Name: | DR. DEBORAH M. PAYTON |
NPI Number: | 1134241177 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LADC |
License Number: | |
Business Practice Address: | 442606 E. 250 Rd Vinita, OK - 74301 |
Business Phone Number: | 9182563392 |
Business Fax Number: | 9182566859 |
Mailing Address: | Po Box 114, TAHLEQUAH |
State: | OK |
Postal Code: | 744650114 |
Phone Number: | 5804215821 |
Fax Number: | |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 07/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |