Provider Demographics
NPI:1326448721
Name:DEBORAH DAUPHINAIS, M.D.,P.C.
Entity Type:Organization
Organization Name:DEBORAH DAUPHINAIS, M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ROZENN
Authorized Official - Last Name:DAUPHINAIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-986-1945
Mailing Address - Street 1:7910 WOODMONT AVE STE 305B
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3002
Mailing Address - Country:US
Mailing Address - Phone:301-986-1945
Mailing Address - Fax:301-215-7718
Practice Address - Street 1:7910 WOODMONT AVE STE 305B
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3002
Practice Address - Country:US
Practice Address - Phone:301-986-1945
Practice Address - Fax:301-215-7718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-04
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00335852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty