Provider Demographics
NPI:1235344375
Name:STUDEBAKER, DEBORAH KAY (LMCPM)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:KAY
Last Name:STUDEBAKER
Suffix:
Gender:F
Credentials:LMCPM
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:KAY
Other - Last Name:GILBRIDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4813 EL CAMINO AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608
Mailing Address - Country:US
Mailing Address - Phone:707-738-8747
Mailing Address - Fax:916-978-9163
Practice Address - Street 1:4813 EL CAMINO AVE
Practice Address - Street 2:SUITE A
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608
Practice Address - Country:US
Practice Address - Phone:707-738-8747
Practice Address - Fax:916-978-9163
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA203176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife