Provider Demographics
NPI:1558404301
Name:FILIVRIN, DEBRA SUE (LMHC CGP LICENSED ME)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:SUE
Last Name:FILIVRIN
Suffix:
Gender:F
Credentials:LMHC CGP LICENSED ME
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 PEMBERTON STREET
Mailing Address - Street 2:#4
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-2543
Mailing Address - Country:US
Mailing Address - Phone:617-492-5980
Mailing Address - Fax:
Practice Address - Street 1:203 PEMBERTON STREET
Practice Address - Street 2:#4
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140-2543
Practice Address - Country:US
Practice Address - Phone:617-492-5980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA626101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health