Provider Demographics
NPI:1508401415
Name:DEBORAH C. CHESHIRE, PSY.D, PLLC
Entity Type:Organization
Organization Name:DEBORAH C. CHESHIRE, PSY.D, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST; OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHESHIRE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:802-452-0241
Mailing Address - Street 1:16 SCOTT CIR
Mailing Address - Street 2:
Mailing Address - City:SPOFFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03462-4631
Mailing Address - Country:US
Mailing Address - Phone:979-422-6362
Mailing Address - Fax:
Practice Address - Street 1:372 WEST ST STE 200
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-2412
Practice Address - Country:US
Practice Address - Phone:802-452-0241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-14
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1518110436OtherNPI