Provider Demographics
NPI:1346377801
Name:WALDMAN, DEBRA A (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:A
Last Name:WALDMAN
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 1:7 CHARDONAY CT
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053
Mailing Address - Country:US
Mailing Address - Phone:856-988-2939
Mailing Address - Fax:856-988-3104
Practice Address - Street 1:1500 KINGS HWY
Practice Address - Street 2:BLDG C SUITE 106
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034
Practice Address - Country:US
Practice Address - Phone:856-988-2939
Practice Address - Fax:856-988-3106
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical