Doctor Name: | MS. DEBORAH ANN STICKNEY |
NPI Number: | 1578771556 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT, NCTMB |
License Number: | MM15363 |
Business Practice Address: | 900 Fox Valley Dr Suite 103 Longwood, FL - 327792560 |
Business Phone Number: | 4078625090 |
Business Fax Number: | 4078625163 |
Mailing Address: | 900 Fox Valley Dr, Suite 103 LONGWOOD |
State: | FL |
Postal Code: | 327792560 |
Phone Number: | 4078625090 |
Fax Number: | 4078625163 |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MM15363 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |