Provider Demographics
NPI:1578613063
Name:SCHEIDE, DEBORAH P (LMFT)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:P
Last Name:SCHEIDE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:PISHVANOV
Other - Last Name:SCHEIDE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3161 BECHELLI LN
Mailing Address - Street 2:SUITE 201B
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-2053
Mailing Address - Country:US
Mailing Address - Phone:530-222-9225
Mailing Address - Fax:530-222-9227
Practice Address - Street 1:3161 BECHELLI LN
Practice Address - Street 2:SUITE 201B
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-2053
Practice Address - Country:US
Practice Address - Phone:530-222-9225
Practice Address - Fax:530-222-9227
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 38661106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist