Provider Demographics
NPI:1003006354
Name:CHELSON, DEBORA ANN (NMD)
Entity Type:Individual
Prefix:DR
First Name:DEBORA
Middle Name:ANN
Last Name:CHELSON
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11650 E OLD SPANISH TRL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85730-5666
Mailing Address - Country:US
Mailing Address - Phone:520-437-9562
Mailing Address - Fax:520-722-1904
Practice Address - Street 1:11650 E OLD SPANISH TRL
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85730-5666
Practice Address - Country:US
Practice Address - Phone:520-437-9562
Practice Address - Fax:520-722-1904
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ94-451175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath