Provider Demographics
NPI:1407899776
Name:ASPER, DEBRA (MFT)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:
Last Name:ASPER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8318 UNIVERSITY AVE
Mailing Address - Street 2:SUITE A1
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-3865
Mailing Address - Country:US
Mailing Address - Phone:619-838-0307
Mailing Address - Fax:619-269-4582
Practice Address - Street 1:8318 UNIVERSITY AVE
Practice Address - Street 2:SUITE A1
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-3865
Practice Address - Country:US
Practice Address - Phone:619-838-0307
Practice Address - Fax:619-269-4582
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC33917106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist