Provider Demographics
NPI:1508526500
Name:BILDER, DEBORAH WILLSON (PHD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:WILLSON
Last Name:BILDER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2444 WILSHIRE BLVD STE 502
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-5809
Mailing Address - Country:US
Mailing Address - Phone:310-826-8889
Mailing Address - Fax:
Practice Address - Street 1:2444 WILSHIRE BLVD STE 502
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-5809
Practice Address - Country:US
Practice Address - Phone:310-826-8889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-19
Last Update Date:2021-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19038103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist