Provider Demographics
NPI:1518110436
Name:CHESHIRE, DEBORAH CHRISTINE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:CHRISTINE
Last Name:CHESHIRE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:979-691-3397
Mailing Address - Fax:979-691-3332
Practice Address - Street 1:16 SCOTT CIR
Practice Address - Street 2:
Practice Address - City:SPOFFORD
Practice Address - State:NH
Practice Address - Zip Code:03462-4631
Practice Address - Country:US
Practice Address - Phone:979-422-6362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-23
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH00016103T00000X, 103TC0700X
TX33886103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist