| Doctor Name: | MS. DEBORAH D SHAIN |
| NPI Number: | 1144403858 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSS LCSW BCD |
| License Number: | CW15416 |
| Business Practice Address: | 7900 Old York Road 607b Elkins Park, PA - 190272334 |
| Business Phone Number: | 2157828666 |
| Business Fax Number: | 2157828272 |
| Mailing Address: | 7900 Old York Road, 607b ELKINS PARK |
| State: | PA |
| Postal Code: | 19027 |
| Phone Number: | 2157828666 |
| Fax Number: | 2157828272 |
| NPI Enumeration Date: | 12/17/2007 |
| NPI Last Update Date: | 12/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CW15416 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |