Provider Demographics
NPI:1558410894
Name:WARING, DEBORA D (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DEBORA
Middle Name:D
Last Name:WARING
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 1:253 NORTHPORT AVE
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6006
Mailing Address - Country:US
Mailing Address - Phone:207-338-4514
Mailing Address - Fax:207-338-4533
Practice Address - Street 1:253 NORTHPORT AVE
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6006
Practice Address - Country:US
Practice Address - Phone:207-338-4514
Practice Address - Fax:207-338-4533
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPS1077103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME0007586637OtherAETNA
ME06Z048727ME01OtherANTHEM
ME2202411OtherCIGNA BEHAVIORAL HEALTH
ME5016OtherSCHOOL DISTRICT #3
ME349792OtherMHN