Provider Demographics
NPI:1245571082
Name:BECKER, DEBORAH A (RN, CNS-PMH)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:A
Last Name:BECKER
Suffix:
Gender:F
Credentials:RN, CNS-PMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:205 DENTAL DR STE 3
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-8210
Mailing Address - Country:US
Mailing Address - Phone:478-328-1620
Mailing Address - Fax:478-929-8801
Practice Address - Street 1:205 DENTAL DR STE 3
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-8210
Practice Address - Country:US
Practice Address - Phone:478-328-1620
Practice Address - Fax:478-929-8801
Is Sole Proprietor?:No
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN066734364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult