Provider Demographics
NPI:1164882791
Name:HOWARD, DEBRA (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7380 S ORIOLE BLVD APT 405
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-3503
Mailing Address - Country:US
Mailing Address - Phone:954-579-6533
Mailing Address - Fax:
Practice Address - Street 1:8000 N FEDERAL HWY STE 109
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-1681
Practice Address - Country:US
Practice Address - Phone:954-579-6533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-24
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 105631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical