Provider Demographics
NPI:1598989022
Name:GATINS, DEBORAH (PH D)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:
Last Name:GATINS
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 TWIN HILLS RD
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-5127
Mailing Address - Country:US
Mailing Address - Phone:845-489-1712
Mailing Address - Fax:
Practice Address - Street 1:27 COLLEGEVIEW AVE
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-2456
Practice Address - Country:US
Practice Address - Phone:845-489-1712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010019103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical