Provider Demographics
NPI:1568198596
Name:DIEP, DEBBIE (BS, MS)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:
Last Name:DIEP
Suffix:
Gender:F
Credentials:BS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2041 CHESTNUT ST APT 15
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-3328
Mailing Address - Country:US
Mailing Address - Phone:352-434-1341
Mailing Address - Fax:
Practice Address - Street 1:4522 BALTIMORE AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19143-3705
Practice Address - Country:US
Practice Address - Phone:215-259-8491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-01
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor