Provider Demographics
NPI:1497286660
Name:DOYLE, DEANA (BSW)
Entity Type:Individual
Prefix:
First Name:DEANA
Middle Name:
Last Name:DOYLE
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:DEANA
Other - Middle Name:
Other - Last Name:DOYLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:257 COUNTY ROAD 3501
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75402-5321
Mailing Address - Country:US
Mailing Address - Phone:903-461-0506
Mailing Address - Fax:
Practice Address - Street 1:257 COUNTY ROAD 3501
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75402-5321
Practice Address - Country:US
Practice Address - Phone:903-461-0506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-21
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator