Provider Demographics
NPI:1194818633
Name:DOXSEE, DEBORAH JOAN (PHD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:JOAN
Last Name:DOXSEE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 N. 8TH ST.
Mailing Address - Street 2:SUITE 300
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-7708
Mailing Address - Country:US
Mailing Address - Phone:573-474-1877
Mailing Address - Fax:573-474-1892
Practice Address - Street 1:28 N. 8TH ST.
Practice Address - Street 2:SUITE 300
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-7708
Practice Address - Country:US
Practice Address - Phone:573-474-1877
Practice Address - Fax:573-474-1892
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000174615103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO100052844OtherAPS HEALTHCARE, INC.
MO144339OtherANTHEM BCBS
MO463355OtherHEALTHLINK
MO6152859OtherUNITED BEHAVIORAL HEALTH
MO000021967Medicare PIN