Provider Demographics
NPI:1326000696
Name:COMO-KEPLER, DEBORAH RAE (PSYD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:RAE
Last Name:COMO-KEPLER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CUMBERLAND ST
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-1904
Mailing Address - Country:US
Mailing Address - Phone:207-729-7022
Mailing Address - Fax:207-729-7022
Practice Address - Street 1:6 CUMBERLAND ST
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-1904
Practice Address - Country:US
Practice Address - Phone:207-729-7022
Practice Address - Fax:207-729-7022
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC1650101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health