Provider Demographics
NPI:1558025262
Name:DEBORAH TOOLE LLC
Entity Type:Organization
Organization Name:DEBORAH TOOLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:M
Authorized Official - Last Name:TOOLE
Authorized Official - Suffix:
Authorized Official - Credentials:MHPNP-BC
Authorized Official - Phone:856-237-5151
Mailing Address - Street 1:158 BILLOWS DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT ROYAL
Mailing Address - State:NJ
Mailing Address - Zip Code:08061-1058
Mailing Address - Country:US
Mailing Address - Phone:856-237-5151
Mailing Address - Fax:856-681-2692
Practice Address - Street 1:208 WHITE HORSE PIKE STE 8
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08007-1322
Practice Address - Country:US
Practice Address - Phone:856-237-5151
Practice Address - Fax:609-681-2692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty