Doctor Name: | MS. PEGGY LEE DUBRAVA |
NPI Number: | 1932205036 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 198185 |
Business Practice Address: | 4100 W 3rd St Dayton, OH - 454289000 |
Business Phone Number: | 9372686511 |
Business Fax Number: | |
Mailing Address: | 2007 Avon Dr, BEAVERCREEK |
State: | OH |
Postal Code: | 454313301 |
Phone Number: | 9373201903 |
Fax Number: | |
NPI Enumeration Date: | 09/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 198185 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |