Organization Name: | DR. DEBORAH SPIRA, CHILD & ADOLESCENT COUNSELING, PC |
NPI Number: | 1134376478 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELI LEHRMANN (BILLING MANAGER) |
Mailing Address: | 17101 Snowmobile Lane Suite 109 Eagle River |
State: | AK US |
Postal Code: | 99577 |
Phone Number: | 9077260426 |
Fax Number: | 9077262926 |
NPI Enumeration Date: | 08/19/2008 |
NPI Last Update Date: | 12/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 136 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |