Provider Demographics
NPI:1568845485
Name:DRAVING, DEBORAH A (PHD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:A
Last Name:DRAVING
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 EAST 10TH STREET
Mailing Address - Street 2:SUITE E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003
Mailing Address - Country:US
Mailing Address - Phone:212-206-9252
Mailing Address - Fax:212-206-1384
Practice Address - Street 1:50 EAST 10TH STREET
Practice Address - Street 2:SUITE E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-206-9252
Practice Address - Fax:212-206-1384
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013056-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical