Provider Demographics
NPI:1598918799
Name:HEWITT, DEBORAH STEESE (PHD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:STEESE
Last Name:HEWITT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:DEBORAH
Other - Middle Name:A
Other - Last Name:STEESE-SEDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:PO BOX 12833
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93406-2833
Mailing Address - Country:US
Mailing Address - Phone:805-547-7900
Mailing Address - Fax:805-547-7903
Practice Address - Street 1:11700 VIEJO CAMINO BLVD
Practice Address - Street 2:C.A.L.L.
Practice Address - City:ATASCADERO
Practice Address - State:CA
Practice Address - Zip Code:93422-5709
Practice Address - Country:US
Practice Address - Phone:805-704-5796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-31
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY13862103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist