Provider Demographics
NPI:1396826111
Name:WARDEN, DEBORAH LEE (MD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LEE
Last Name:WARDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8005 ASHBORO CT
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-3052
Mailing Address - Country:US
Mailing Address - Phone:301-587-0412
Mailing Address - Fax:202-782-4400
Practice Address - Street 1:WALTER REED ARMY MEDICAL CTR
Practice Address - Street 2:6825 16TH STREET
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0001
Practice Address - Country:US
Practice Address - Phone:202-782-6345
Practice Address - Fax:202-782-4400
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00326972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry