Provider Demographics
NPI:1598012643
Name:DOUEK, DEBORAH REBECCA (MS ED)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:REBECCA
Last Name:DOUEK
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:REBECCA
Other - Last Name:DRUCKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:1262 EMERSON AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-2863
Mailing Address - Country:US
Mailing Address - Phone:646-201-1642
Mailing Address - Fax:
Practice Address - Street 1:1262 EMERSON AVE
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-2863
Practice Address - Country:US
Practice Address - Phone:646-201-1642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-08
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1360959174400000X
NJ03-161221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No174400000XOther Service ProvidersSpecialist