Provider Demographics
NPI:1437313160
Name:SPIRA, DEBORAH A (PHD,NCSP, LPC)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:A
Last Name:SPIRA
Suffix:
Gender:F
Credentials:PHD,NCSP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17101 SNOWMOBILE LANE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577
Mailing Address - Country:US
Mailing Address - Phone:907-726-0426
Mailing Address - Fax:907-726-2926
Practice Address - Street 1:17101 SNOWMOBILE LANE
Practice Address - Street 2:SUITE 109
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577
Practice Address - Country:US
Practice Address - Phone:907-726-0426
Practice Address - Fax:907-726-2926
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-11
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK136101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK136OtherSTATE OCCUPATIONAL LICENSE