Provider Demographics
NPI:1093979312
Name:VANDERVEER, DEBORA SUE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:DEBORA
Middle Name:SUE
Last Name:VANDERVEER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 PINECROFT DR
Mailing Address - Street 2:
Mailing Address - City:TAYLORS
Mailing Address - State:SC
Mailing Address - Zip Code:29687-2213
Mailing Address - Country:US
Mailing Address - Phone:864-248-0278
Mailing Address - Fax:864-248-0278
Practice Address - Street 1:147 PINECROFT DR
Practice Address - Street 2:
Practice Address - City:TAYLORS
Practice Address - State:SC
Practice Address - Zip Code:29687-2213
Practice Address - Country:US
Practice Address - Phone:864-248-0278
Practice Address - Fax:864-248-0278
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-16
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health