Provider Demographics
NPI:1134464407
Name:WARSHAUER, DEBORAH SNYDER (LAC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:SNYDER
Last Name:WARSHAUER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:M
Other - Last Name:SNYDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:24955 ALICANTE DR
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-3026
Mailing Address - Country:US
Mailing Address - Phone:818-919-3359
Mailing Address - Fax:855-883-5501
Practice Address - Street 1:24955 ALICANTE DR
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-3026
Practice Address - Country:US
Practice Address - Phone:818-919-3359
Practice Address - Fax:855-883-5501
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-27
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 3931171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist