Provider Demographics
NPI:1093992398
Name:MCMAKIN, DEBORAH
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:MCMAKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 WORCESTER RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-5303
Mailing Address - Country:US
Mailing Address - Phone:508-875-1110
Mailing Address - Fax:508-875-1130
Practice Address - Street 1:600 WORCESTER RD
Practice Address - Street 2:SUITE 201
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-5303
Practice Address - Country:US
Practice Address - Phone:508-875-1110
Practice Address - Fax:508-875-1130
Is Sole Proprietor?:No
Enumeration Date:2008-01-29
Last Update Date:2016-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAE2685901041C0700X
MA1115421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical