| Doctor Name: | DEBORAH ANN PRIEBE |
| NPI Number: | 1518088467 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 012593-01 |
| Business Practice Address: | 2780 Middle Country Rd Suite 209 Lake Grove, NY - 117552124 |
| Business Phone Number: | 6313615080 |
| Business Fax Number: | |
| Mailing Address: | 26 Neil Dr, SMITHTOWN |
| State: | NY |
| Postal Code: | 117871538 |
| Phone Number: | 6316568505 |
| Fax Number: | |
| NPI Enumeration Date: | 04/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 012593-01 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |