Provider Demographics
NPI:1194820357
Name:KOOYMAN, DEBBI RAE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DEBBI
Middle Name:RAE
Last Name:KOOYMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16052 BEACH BLVD STE 214
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-3851
Mailing Address - Country:US
Mailing Address - Phone:714-225-0815
Mailing Address - Fax:714-841-7474
Practice Address - Street 1:16052 BEACH BLVD STE 214
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-3851
Practice Address - Country:US
Practice Address - Phone:714-225-0815
Practice Address - Fax:714-841-7474
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20091103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical