Provider Demographics
NPI:1528225661
Name:SISUL, DEBORAH K
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:K
Last Name:SISUL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 VELTRI DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-1449
Mailing Address - Country:US
Mailing Address - Phone:724-344-9285
Mailing Address - Fax:
Practice Address - Street 1:20 VELTRI DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-1449
Practice Address - Country:US
Practice Address - Phone:724-344-9285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional