Provider Demographics
NPI:1225166283
Name:WHITCOMB, DEBORAH A (MA)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:A
Last Name:WHITCOMB
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17942 COHASSET ST
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-3229
Mailing Address - Country:US
Mailing Address - Phone:818-399-7972
Mailing Address - Fax:
Practice Address - Street 1:16800 DEVONSHIRE ST STE 212
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-7409
Practice Address - Country:US
Practice Address - Phone:818-399-7972
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health