Provider Demographics
NPI:1316005291
Name:LOUVIERE, DEBORAH ANN
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:ANN
Last Name:LOUVIERE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 402
Mailing Address - Street 2:
Mailing Address - City:WHARTON
Mailing Address - State:TX
Mailing Address - Zip Code:77488-0402
Mailing Address - Country:US
Mailing Address - Phone:979-257-4199
Mailing Address - Fax:832-595-2134
Practice Address - Street 1:3419 FOUNTAINS DR APT 502
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-8795
Practice Address - Country:US
Practice Address - Phone:979-257-4199
Practice Address - Fax:832-595-2134
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2009-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities