Provider Demographics
NPI:1528364940
Name:OBERKAMPER, DEBORAH L
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:L
Last Name:OBERKAMPER
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 1:621 14TH ST
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95354-2504
Mailing Address - Country:US
Mailing Address - Phone:209-569-0373
Mailing Address - Fax:
Practice Address - Street 1:621 14TH ST
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95354-2504
Practice Address - Country:US
Practice Address - Phone:209-569-0373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health