Provider Demographics
NPI:1285840850
Name:VOCHATZER, DEBORAH LYNN (LCSW)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LYNN
Last Name:VOCHATZER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6155 OAK ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64113-2238
Mailing Address - Country:US
Mailing Address - Phone:816-333-0606
Mailing Address - Fax:816-523-5418
Practice Address - Street 1:6155 OAK ST
Practice Address - Street 2:SUITE E
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64113-2238
Practice Address - Country:US
Practice Address - Phone:816-333-0606
Practice Address - Fax:816-523-5418
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0049011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOJ399308Medicare ID - Type Unspecified